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1285703959
LARS JOHN CARLSON
GOLD CANYON, AZ
NPI
1285703959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: AZ 1429)
Enumeration Date
2006-11-07
Last Update Date
2007-07-09
Business Address
Mr. LARS JOHN CARLSON O.D.
5301 S SUPERSTITION MOUNTAIN DR
GOLD CANYON, AZ 85218-1919
Phone number: 480-474-2020
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Mailing Address
Mr. LARS JOHN CARLSON O.D.
7314 E ROOSEVELT ST
SCOTTSDALE, AZ 85257-4021
Phone number: 602-373-8821
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