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Individual

LARRY BUTCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2434 HARRISON AVE, EUREKA, CA 95501-3219
(707) 442-6489
Mailing address
2434 HARRISON AVE, EUREKA, CA 95501-3219
(707) 442-6489

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D 7050
CA

Other

Enumeration date
04/10/2013
Last updated
04/10/2013
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