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1043596869
JEFFERY SCOTT LARSON
STOCKTON, CA
NPI
1043596869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-10-25
Last Update Date
2011-10-25
Business Address
Mr. JEFFERY SCOTT LARSON
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8880
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Mailing Address
Mr. JEFFERY SCOTT LARSON
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8880
Copy
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