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1427079003
LAURIE JEAN LARSON
GREEN BAY, WI
NPI
1427079003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WI 2929-035)
Enumeration Date
2006-07-21
Last Update Date
2007-07-09
Business Address
Dr. LAURIE JEAN LARSON O.D.
2440 W MASON ST
GREEN BAY, WI 54303-4711
Phone number: 920-405-9165
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Mailing Address
Dr. LAURIE JEAN LARSON O.D.
3963 PRESQUE ISLE CT
GREEN BAY, WI 54301-1086
Phone number: 920-265-4122
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