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1003058504
PAUL R LARSEN
SANTA ROSA, CA
NPI
1003058504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-03-30
Last Update Date
2009-03-30
Business Address
Mr. PAUL R LARSEN
327 COLLEGE AVE
SANTA ROSA, CA 95401-5117
Phone number: 707-568-2800
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Mailing Address
Mr. PAUL R LARSEN
327 COLLEGE AVE.
SANTA ROSA, CA 95401
Phone number: 707-568-2800
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