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1356400816
ROYCE R LARSON
CENTRALIA, WA
NPI
1356400816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00002427)
Enumeration Date
2006-12-08
Last Update Date
2007-07-08
Business Address
Mr. ROYCE R LARSON
1900 COOKS HILL RD
CENTRALIA, WA 98531-9073
Phone number: 360-330-8627
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Mailing Address
Mr. ROYCE R LARSON
PO BOX 84646
SEATTLE, WA 98124-5946
Phone number:
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