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1467725051
JEFF WILLIAM LARSEN
RALEIGH, NC
NPI
1467725051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A3187)
Enumeration Date
2012-02-14
Last Update Date
2012-02-14
Business Address
Mr. JEFF WILLIAM LARSEN PTA
3001 SPRING FOREST RD
RALEIGH, NC 27616-2815
Phone number: 919-424-5080
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Mailing Address
Mr. JEFF WILLIAM LARSEN PTA
7700 BRANDYWOOD CT
RALEIGH, NC 27615-6102
Phone number: 919-931-4059
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