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1689267460
BRIAN LEE LARSEN
SAN ANTONIO, TX
NPI
1689267460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology
(Licence: TX 4556)
Enumeration Date
2021-02-12
Last Update Date
2021-02-12
Business Address
BRIAN LEE LARSEN CNIM
1141 N LOOP 1604 E # 426
SAN ANTONIO, TX 78232-1339
Phone number: 888-851-3677
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Mailing Address
BRIAN LEE LARSEN CNIM
1141 N LOOP 1604 E # 426
SAN ANTONIO, TX 78232-1339
Phone number: 888-851-3677
Copy
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