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1396161980
BRENT K. LARSON
LOS ANGELES, CA
NPI
1396161980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: CA 20A12618)
Enumeration Date
2014-03-06
Last Update Date
2016-09-02
Business Address
-- BRENT K. LARSON D.O.
1500 SAN PABLO STREET PATHOLOGY LAB
LOS ANGELES, CA 90033-5313
Phone number: 323-442-2588
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Mailing Address
-- BRENT K. LARSON D.O.
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-442-2588
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