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1538615943
JACOB LARSON
LAYTON, UT
NPI
1538615943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225XH1200X Occupational Therapist Hand
(Licence: UT 9829767-4201)
Enumeration Date
2016-08-27
Last Update Date
2016-08-27
Business Address
JACOB LARSON OTD
1992 W ANTELOPE DR SUITE 1-D
LAYTON, UT 84041-4953
Phone number: 801-773-2633
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Mailing Address
JACOB LARSON OTD
1992 W ANTELOPE DR SUITE 1-D
LAYTON, UT 84041-4953
Phone number: 801-773-2633
Copy
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