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1629116991
LARRY WAYNE COLLIER
BIG STONE GAP, VA
NPI
1629116991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-02-01
Last Update Date
2007-07-08
Business Address
Mr. LARRY WAYNE COLLIER BS
3169 2ND AVE E
BIG STONE GAP, VA 24219
Phone number: 276-523-8360
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Mailing Address
Mr. LARRY WAYNE COLLIER BS
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600
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