Larry Otto Grounds

NPI 1720486210 - Contractor - 171WH0202X

NPI Details
NPI 1720486210
Gender Male
Enumeration Date 12/15/2014
Last Updated 12/15/2014
Entity Type Individual
Active Over 1 year ago
Practice Location
1201 COREY DR
WHITEHOUSE TX, 75791-3731, US
Phone (903) 520-6421
Fax (903) 839-0620
Business Location
1201 COREY DR
WHITEHOUSE TX, 75791-3731, US
Phone (903) 520-6421
Fax (903) 839-0620
Toxanomy
Taxonomy Code 171WH0202X
License State
License Number
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According to our database, Larry Otto Grounds NPI is 1720486210, taxonomy code is 171WH0202X Larry Otto Grounds physically located at 1201 Corey Dr, Whitehouse TX, 75791-3731. NPI Number Larry Otto Grounds has the Individual type.

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1720486210 NPI number is provided on an as is basis without warranty of any kind. 1720486210 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Otto Grounds are for informational purposes only.