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1104198274
LARS NEGRE
DELTONA, FL
NPI
1104198274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL 0007310)
Enumeration Date
2012-02-03
Last Update Date
2012-02-03
Business Address
-- LARS NEGRE PT
1851 ELKCAM BLVD
DELTONA, FL 32725-3922
Phone number: 386-789-3769
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Mailing Address
-- LARS NEGRE PT
225 E. GARDENIA DRIVE
ORANGE CITY, FL 32763
Phone number: 386-917-1040
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