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1013931021
KEITH LARSON
LONE TREE, CO
NPI
1013931021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO 6389)
Enumeration Date
2006-07-26
Last Update Date
2007-10-23
Business Address
Mr. KEITH LARSON PT
10450 PARK MEADOWS DR. SUITE 103
LONE TREE, CO 80124
Phone number: 303-754-5222
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Mailing Address
Mr. KEITH LARSON PT
FILE 50469
LOS ANGELES, CA 90074-0469
Phone number: 530-778-0200
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