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1699943308
ERIC LARSON
CHICAGO, IL
NPI
1699943308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: IL 071.005100)
Enumeration Date
2008-02-15
Last Update Date
2008-02-15
Business Address
-- ERIC LARSON Ph.D.
345 E SUPERIOR ST
CHICAGO, IL 60611-2654
Phone number: 312-238-6220
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Mailing Address
-- ERIC LARSON Ph.D.
345 E SUPERIOR ST
CHICAGO, IL 60611-2654
Phone number: 312-238-6220
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