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1700436227
ADAM MICHAEL LARSON
SACRAMENTO, CA
NPI
1700436227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-09-17
Last Update Date
2019-09-17
Business Address
Mr. ADAM MICHAEL LARSON
3650 AUBURN BLVD # C208
SACRAMENTO, CA 95821-2069
Phone number: 916-300-6576
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Mailing Address
Mr. ADAM MICHAEL LARSON
2041 BRANDING IRON WAY
PLUMAS LAKE, CA 95961-9162
Phone number: 513-748-4907
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