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1174019723
JUSTIN GRANT LARSON
PAHRUMP, NV
NPI
1174019723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NV 3760)
Enumeration Date
2018-07-06
Last Update Date
2020-11-25
Business Address
JUSTIN GRANT LARSON DPT
2250 POSTAL DR STE 4
PAHRUMP, NV 89048-4798
Phone number: 775-727-3838
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Mailing Address
JUSTIN GRANT LARSON DPT
2250 POSTAL DR STE 4
PAHRUMP, NV 89048-4798
Phone number: 775-727-3838
Copy
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