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1346840147
HERBERT ASHLEY LARSEN
LOMA LINDA, CA
NPI
1346840147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT40319)
Enumeration Date
2020-10-30
Last Update Date
2020-10-30
Business Address
HERBERT ASHLEY LARSEN DPT
24736 DAISY AVE
LOMA LINDA, CA 92354-3307
Phone number: 509-540-7492
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Mailing Address
HERBERT ASHLEY LARSEN DPT
24736 DAISY AVE
LOMA LINDA, CA 92354-3307
Phone number: 509-540-7492
Copy
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