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1053361550
LARISA KLOTS
EAST BRUNSWICK, NJ
NPI
1053361550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NJ MB71358)
Enumeration Date
2006-05-12
Last Update Date
2013-09-24
Business Address
Dr. LARISA KLOTS DO
B3 BRIER HILL CT
EAST BRUNSWICK, NJ 08816-3330
Phone number: 732-254-1114
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Mailing Address
Dr. LARISA KLOTS DO
11 BUFFALO RUN
EAST BRUNSWICK, NJ 08816-4078
Phone number: 732-254-1114
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