LARRY WAYNE VANDERMOLEN

BLOOMINGTON, IN
NPI1942520507
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  99042551A)
Enumeration Date2010-06-07
Last Update Date2010-07-20
Business Address
Mr. LARRY WAYNE VANDERMOLEN PA-C
2626 E COVENANTER CT
BLOOMINGTON, IN 47401-5408
Phone number: 812-345-5556
Mailing Address
Mr. LARRY WAYNE VANDERMOLEN PA-C
2626 E COVENANTER CT
BLOOMINGTON, IN 47401-5408
Phone number:
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