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Larry Eisenman Center, m.s. ccc-a

Audiologist in Memphis, TN. Individual provider (NPI-1).

NPI number1811262603
StatusActive
Last updated in NPPESJun 14, 2013

Details

NPI
1811262603
Entity type
Individual (NPI-1)
Name
Larry Eisenman Center
Credential
m.s. ccc-a
Sex
Male
Sole proprietor
No
Enumeration date
Mar 13, 2012
Last updated
Jun 14, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
231H00000X Audiologist123TNYes

Practice location

1838 Union Ave
Memphis, TN 38104-3941

Phone 901-726-0044

Mailing address

1838 Union Ave
Memphis, TN 38104-3941

Phone 901-726-0044

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