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1114908910
LARS EVERT LUNDSTROM
VENTURA, CA
NPI
1114908910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: CA 19200)
Enumeration Date
2005-11-08
Last Update Date
2007-07-08
Business Address
Dr. LARS EVERT LUNDSTROM dc
2686 JOHNSON DR SUITE 104
VENTURA, CA 93003-7207
Phone number: 805-654-1432
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Mailing Address
Dr. LARS EVERT LUNDSTROM dc
9058 HAVASU ST
VENTURA, CA 93004-3037
Phone number: 805-654-1432
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