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1629194782
STEVEN RAY LARSEN
SAN DIEGO, CA
NPI
1629194782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA OPT7687T)
Enumeration Date
2007-03-21
Last Update Date
2013-10-11
Business Address
Dr. STEVEN RAY LARSEN O.D.
4096 PARK BLVD
SAN DIEGO, CA 92103-2620
Phone number: 619-291-5505
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Mailing Address
Dr. STEVEN RAY LARSEN O.D.
4096 CENTRE ST
SAN DIEGO, CA 92103-2608
Phone number: 619-291-5505
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