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1518722966
MERRICK LARSON
ROCHESTER, NY
NPI
1518722966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder
Enumeration Date
2024-02-15
Last Update Date
2024-02-15
Business Address
MERRICK LARSON
72 HINCHEY RD
ROCHESTER, NY 14624-2930
Phone number: 585-467-2230
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Mailing Address
MERRICK LARSON
72 HINCHEY RD
ROCHESTER, NY 14624-2930
Phone number:
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