BRIAN J LARSON

EFFINGHAM, IL
NPI1083836639
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
BRIAN J LARSON CNIM
905 W ST ANTHONY AVE
EFFINGHAM, IL 62401
Phone number: 217-342-7256
Mailing Address
BRIAN J LARSON CNIM
PO BOX 1527
EFFINGHAM, IL 62401-1527
Phone number: 217-342-7256
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