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1265073084
BENJAMIN LARSON
PUYALLUP, WA
NPI
1265073084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60981332)
Enumeration Date
2019-10-02
Last Update Date
2021-06-15
Business Address
BENJAMIN LARSON DPT
402 15TH AVE SE STE 100
PUYALLUP, WA 98372-3709
Phone number: 253-697-5200
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Mailing Address
BENJAMIN LARSON DPT
7239 SAND POINT WAY NE APT 305
SEATTLE, WA 98115-6315
Phone number:
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