LARRY TATE

CORBIN, KY
NPI1336559186
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: KY  0567)
Enumeration Date2014-05-02
Last Update Date2014-05-02
Business Address
-- LARRY TATE LDO
107 KENTUCKY STREET
CORBIN, KY 40701
Phone number: 606-528-2833
Mailing Address
-- LARRY TATE LDO
PO BOX 420
CORBIN, KY 40702-0420
Phone number: 606-528-2833
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