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1528543436
KRISTA LARSEN
WAXHAW, NC
NPI
1528543436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist Pediatrics
(Licence: NC 11953)
Enumeration Date
2018-09-26
Last Update Date
2018-09-26
Business Address
KRISTA LARSEN
7910 KINGSTON DR
WAXHAW, NC 28173-9002
Phone number: 980-218-0515
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Mailing Address
KRISTA LARSEN
5621 CLOSEBURN RD
CHARLOTTE, NC 28210-3007
Phone number:
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