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1710996996
LARRY HENLE WALLER
LITTLE ROCK, AR
NPI
1710996996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: AR E0253)
Enumeration Date
2006-08-05
Last Update Date
2007-07-09
Business Address
-- LARRY HENLE WALLER M.D.
500 S UNIVERSITY AVE SUITE 316
LITTLE ROCK, AR 72205-5302
Phone number: 501-603-9600
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Mailing Address
-- LARRY HENLE WALLER M.D.
500 S UNIVERSITY AVE SUITE 316
LITTLE ROCK, AR 72205-5302
Phone number: 501-603-9600
Copy
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