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1245489103
MARK D. LARSON, M.D., P.A.
BEAUMONT, TX
NPI
1245489103
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Entity Type
Organization
Authorized Contact
MARK LARSON
Physician
409-833-0193
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2008-09-16
Last Update Date
2015-03-30
Business Address
MARK D. LARSON, M.D., P.A.
950 N 11TH ST
BEAUMONT, TX 77702-1203
Phone number: 409-833-0193
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Mailing Address
MARK D. LARSON, M.D., P.A.
950 N 11TH ST
BEAUMONT, TX 77702-1203
Phone number: 409-833-0193
Copy
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