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1225713944
JUSTIN DANIEL LARSON-PROFFITT
ALBUQUERQUE, NM
NPI
1225713944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NM OT4724)
Enumeration Date
2023-06-20
Last Update Date
2023-06-20
Business Address
JUSTIN DANIEL LARSON-PROFFITT OTR
10101 LAGRIMA DE ORO RD NE
ALBUQUERQUE, NM 87111-6022
Phone number: 505-298-1231
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Mailing Address
JUSTIN DANIEL LARSON-PROFFITT OTR
1715 35TH AVE
VERO BEACH, FL 32960-2504
Phone number: 772-539-1364
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