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1467647750
PHILLIP ERIK LARSON
SAN DIEGO, CA
NPI
1467647750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA AT3876)
Enumeration Date
2007-09-10
Last Update Date
2007-09-10
Business Address
-- PHILLIP ERIK LARSON P.T. A.
13075 EVENING CREEK DR S
SAN DIEGO, CA 92128-8101
Phone number: 209-531-4613
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Mailing Address
-- PHILLIP ERIK LARSON P.T. A.
8034 LINDA VISTA RD APT 1A
SAN DIEGO, CA 92111-5146
Phone number: 858-292-6251
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