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Leo Enrique Larios, DO
Student in an Organized Health Care Education/Training Program in Moultrie, Georgia
NPI 1154907517

Leo Enrique Larios is a Student in an Organized Health Care Education/Training Program based in Moultrie, GA. Leo Enrique Larios practices in Moultrie, GA and has the professional credentials of DO. The NPI Number for Leo Enrique Larios is 1154907517 and holds a License No. (Georgia).

The current practice location address for Leo Enrique Larios is 1 Magnolia Ct, Moultrie, GA and can be reached out via phone at 229-502-9769.

Location: 1 Magnolia Ct, Moultrie, GA, 31768-6764
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154907517
Provider Name
Leo Enrique Larios
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1 Magnolia Ct, Moultrie, GA, 31768-6764
Phone Number
229-502-9769
Fax Number
Provider Enumeration Date
03/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Magnolia Ct
City
Moultrie
State
Georgia
Zip
31768-6764
Phone Number
229-502-9769
Fax Number
person
Provider Business Mailing Address Details
Address
1 Magnolia Ct
City
Moultrie
State
Georgia
Zip
31768-6764
Phone Number
229-502-9769
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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