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1568061927
WILLIAM LARRY
ELKHART, IN
NPI
1568061927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2020-10-18
Last Update Date
2020-10-18
Business Address
WILLIAM LARRY MS
2600 OAKLAND AVE
ELKHART, IN 46517-1597
Phone number: 574-533-1234
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Mailing Address
WILLIAM LARRY MS
PO BOX 809
GOSHEN, IN 46527-0809
Phone number: 574-533-1234
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