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1053812461
KALEB ORVILLE LARSON
TERRE HAUTE, IN
NPI
1053812461
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Other Name
MARTY ORVILLE LARSON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39004107A)
Enumeration Date
2018-02-22
Last Update Date
2024-09-23
Business Address
KALEB ORVILLE LARSON MS
6401 S. US HWY 41
TERRE HAUTE, IN 47805-4749
Phone number: 812-299-1156
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Mailing Address
KALEB ORVILLE LARSON MS
GIBAULT CARE INC. 6401 S. US HWY 41
TERRE HAUTE, IN 47805-4749
Phone number: 812-299-1156
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