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Individual

LARRY MALONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2331 SHERWOOD DR APT 4, COUNCIL BLUFFS, IA 51503-1070
(712) 355-3064
Mailing address
2331 SHERWOOD DR APT 4, COUNCIL BLUFFS, IA 51503-1070

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
372600000X
Adult Companion
Primary
3747P1801X
Personal Care Attendant

Other

Enumeration date
04/03/2025
Last updated
04/03/2025
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