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Dr. Eugene R Little JR.

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NPI Number Detailed Information

Provider Information:

Name: Dr. Eugene R Little JR.
Gender: M
Provider License Number If Given: 36-00-2287-L

NPI Information:

NPI: 1144223181
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 12/15/2009

Provider Business Mailing Address:

Address: 1013 E SPRING ST
St Marys, OH 45885
Phone Number: 4193948664
Fax Number: 4193941148

Provider Business Practice Location Address:

Address: 1013 E SPRING ST
St Marys, OH 45885
Phone Number: 4193948664
Fax Number: 4193941148

Provider Taxonomy:

Primary: 213ES0103X
Secondary (if any):
State: OH

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