Individual
MR. LARRY LARGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 W WATER ST, CHILLICOTHE, OH 45601-2452
(740) 851-4432
Mailing address
111 W WATER ST, CHILLICOTHE, OH 45601-2452
(740) 851-4432
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0059162
—
OH
Enumeration date
03/25/2021
Last updated
03/25/2021
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