MICHAEL R. LARSON

SPRINGFIELD, IL
NPI1275634016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy231H00000X Audiologist
(Licence: IL  147-000231)
Enumeration Date2006-09-26
Last Update Date2008-08-13
Business Address
MICHAEL R. LARSON
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
Mailing Address
MICHAEL R. LARSON
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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