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1255983862
LARRY ODELE PRENTICE
DECATUR, AL
NPI
1255983862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: AL 3314)
Enumeration Date
2019-07-13
Last Update Date
2019-07-13
Business Address
MR. LARRY ODELE PRENTICE
2205 BELTLINE RD SW
DECATUR, AL 35601-3617
Phone number: 256-973-4134
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Mailing Address
MR. LARRY ODELE PRENTICE
2420 GASLIGHT PL SW APT 3
DECATUR, AL 35603-2047
Phone number: 256-701-1039
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