MORIAH LARSEN

MESA, AZ
NPI1063935690
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ  1506)
Enumeration Date2017-07-25
Last Update Date2022-07-21
Business Address
MORIAH LARSEN AT/L, ATC
2503 E GARNET AVE
MESA, AZ 85204-6203
Phone number: 480-737-2208
Mailing Address
MORIAH LARSEN AT/L, ATC
2503 E GARNET AVE
MESA, AZ 85204-6203
Phone number: 480-737-2208
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