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1487974887
BENJAMIN R LARSEN
CHEYENNE, WY
NPI
1487974887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WY PT-1325)
Enumeration Date
2010-06-08
Last Update Date
2021-09-30
Business Address
BENJAMIN R LARSEN PT
603 E CARLSON ST STE 304
CHEYENNE, WY 82009-4443
Phone number: 307-514-9999
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Mailing Address
BENJAMIN R LARSEN PT
1406 W MAIN ST
RIVERTON, WY 82501-3239
Phone number: 307-463-0462
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