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1346957032
LARRY EUGENE SHORT
COLUMBUS, OH
NPI
1346957032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH lpn.130911.meds.iv)
Enumeration Date
2022-11-01
Last Update Date
2022-11-01
Business Address
Mr. LARRY EUGENE SHORT LPN
1430 S HIGH ST
COLUMBUS, OH 43207-1045
Phone number: 614-324-5458
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Mailing Address
Mr. LARRY EUGENE SHORT LPN
1791 ALUM CREEK DR
COLUMBUS, OH 43207-1708
Phone number: 614-445-8131
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