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Larry Matthew Harbison JR.
Student in an Organized Health Care Education/Training Program in Dauphin Island, Alabama
NPI 1417719485

Larry Matthew Harbison JR. is a Student in an Organized Health Care Education/Training Program based in Dauphin Island, AL. Larry Matthew Harbison JR. practices in Dauphin Island, AL. The NPI Number for Larry Matthew Harbison JR. is 1417719485 and holds a License No. (Alabama).

The current practice location address for Larry Matthew Harbison JR. is 1203 Cadillac Ave, Dauphin Island, AL and can be reached out via phone at 251-654-6583.

Location: 1203 Cadillac Ave, Dauphin Island, AL, 36528-4345
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417719485
Provider Name
Larry Matthew Harbison JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1203 Cadillac Ave, Dauphin Island, AL, 36528-4345
Phone Number
251-654-6583
Fax Number
Provider Enumeration Date
01/25/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1203 Cadillac Ave
City
Dauphin Island
State
Alabama
Zip
36528-4345
Phone Number
251-654-6583
Fax Number
person
Provider Business Mailing Address Details
Address
1203 Cadillac Ave
City
Dauphin Island
State
Alabama
Zip
36528-4345
Phone Number
251-654-6583
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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