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1073647541
LAWRENCE BRAY LARSON
YUCAIPA, CA
NPI
1073647541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA RPH 37937)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
Dr. LAWRENCE BRAY LARSON Pharm. D.
12390 CAMBRIA DR
YUCAIPA, CA 92399-1970
Phone number: 909-645-5835
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Mailing Address
Dr. LAWRENCE BRAY LARSON Pharm. D.
12390 CAMBRIA DR
YUCAIPA, CA 92399-1970
Phone number: 909-645-5835
Copy
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