Individual
LARRY HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8603 E RENO AVE APT 4, MIDWEST CITY, OK 73110-6954
(405) 588-7601
Mailing address
8603 E RENO AVE APT 4, MIDWEST CITY, OK 73110-6954
(405) 588-7601
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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