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1154564318
VICTOR HARRY LARSON
FRESNO, CA
NPI
1154564318
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-04-16
Last Update Date
2010-01-11
Business Address
Mr. VICTOR HARRY LARSON MS
3707 E SHIELDS AVE
FRESNO, CA 93726-7029
Phone number: 559-229-9040
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Mailing Address
Mr. VICTOR HARRY LARSON MS
3707 E SHIELDS AVE
FRESNO, CA 93726-7029
Phone number: 559-229-9040
Copy
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