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1245222181
PHILIP J LARSEN
HENDERSON, NV
NPI
1245222181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: NV 0005)
Enumeration Date
2005-08-17
Last Update Date
2014-02-03
Business Address
-- PHILIP J LARSEN DPM
10561 JEFFREYS ST 110
HENDERSON, NV 89052-4179
Phone number: 702-456-3668
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Mailing Address
-- PHILIP J LARSEN DPM
10561 JEFFREYS ST #110
HENDERSON, NV 89052-4266
Phone number: 702-456-3668
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