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1093077398
DANIEL LARSON
DAVENPORT, IA
NPI
1093077398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: IL 071.006477)
Enumeration Date
2012-06-12
Last Update Date
2021-08-10
Business Address
Dr. DANIEL LARSON Ed.D.
4455 E 56TH ST
DAVENPORT, IA 52807-2995
Phone number: 563-355-2577
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Mailing Address
Dr. DANIEL LARSON Ed.D.
4455 E 56TH ST
DAVENPORT, IA 52807-2995
Phone number: 563-355-2577
Copy
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