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1568618692
CHAD LARSON
OSHKOSH, WI
NPI
1568618692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 10578-024)
Enumeration Date
2008-08-08
Last Update Date
2008-08-08
Business Address
Mr. CHAD LARSON PT
1130 N WESTFIELD ST
OSHKOSH, WI 54902-3217
Phone number: 920-237-2163
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Mailing Address
Mr. CHAD LARSON PT
1130 N WESTFIELD ST
OSHKOSH, WI 54902-3217
Phone number: 920-237-2163
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