DANIEL LARSEN

MISSOULA, MT
NPI1649265919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: MT  581)
Enumeration Date2005-09-13
Last Update Date2010-04-14
Business Address
-- DANIEL LARSEN OD
700 W KENT AVE
MISSOULA, MT 59801-6772
Phone number: 406-541-3937
Mailing Address
-- DANIEL LARSEN OD
PO BOX 4907 700 WEST KENT
MISSOULA, MT 59806-4907
Phone number: 406-541-3937
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