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1497740088
LARRY NELS LARSEN
SHREVEPORT, LA
NPI
1497740088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 0321)
Enumeration Date
2005-09-20
Last Update Date
2007-07-09
Business Address
Mr. LARRY NELS LARSEN P.T., A.T.C., S.T.S.
1717 IRVING PL
SHREVEPORT, LA 71101-4605
Phone number: 318-425-5604
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Mailing Address
Mr. LARRY NELS LARSEN P.T., A.T.C., S.T.S.
1717 IRVING PL
SHREVEPORT, LA 71101-4605
Phone number: 318-425-5604
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