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1316047079
BEN L LARSON
SANFORD, FL
NPI
1316047079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: FL OPC 3014)
Enumeration Date
2006-09-23
Last Update Date
2010-09-08
Business Address
Dr. BEN L LARSON O.D.
5680 WAYSIDE DR
SANFORD, FL 32771-8625
Phone number: 407-333-3937
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Mailing Address
Dr. BEN L LARSON O.D.
5680 WAYSIDE DR
SANFORD, FL 32771-8625
Phone number: 407-333-3937
Copy
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