JASON JOSEPH LARSON

LAWRENCEVILLE, NJ
NPI1194948232
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ  25MT00097100)
Enumeration Date2007-04-10
Last Update Date2007-07-08
Business Address
Mr. JASON JOSEPH LARSON M.Ed., ATC, EMT
2500 MAIN ST
LAWRENCEVILLE, NJ 08648-1600
Phone number: 609-895-2037
Mailing Address
Mr. JASON JOSEPH LARSON M.Ed., ATC, EMT
PO BOX 6562
LAWRENCEVILLE, NJ 08648-0562
Phone number: 609-620-7606
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