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1104939156
LARRY WHEELER
LEXINGTON, KY
NPI
1104939156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224L00000X Pedorthist
(Licence: KY 111233)
Enumeration Date
2006-08-16
Last Update Date
2016-11-21
Business Address
-- LARRY WHEELER C.PED
371 SOUTHLAND DR
LEXINGTON, KY 40503-1824
Phone number: 859-266-0420
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Mailing Address
-- LARRY WHEELER C.PED
371 SOUTHLAND DR
LEXINGTON, KY 40503-1824
Phone number: 859-266-0420
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