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1306266218
KOURTNEY LARSEN
CHARLOTTE, NC
NPI
1306266218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NC 10836)
Enumeration Date
2014-04-17
Last Update Date
2014-08-04
Business Address
-- KOURTNEY LARSEN
5214 CHEDWORTH DR
CHARLOTTE, NC 28210-3704
Phone number: 207-323-1276
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Mailing Address
-- KOURTNEY LARSEN
5214 CHEDWORTH DR
CHARLOTTE, NC 28210-3704
Phone number:
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