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1710905195
MICHAEL LEWIS LARSON
PALM DESERT, CA
NPI
1710905195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA15632)
Enumeration Date
2006-07-17
Last Update Date
2016-07-19
Business Address
-- MICHAEL LEWIS LARSON P.A.
42575 WASHINGTON ST
PALM DESERT, CA 92211-8850
Phone number: 760-360-0333
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Mailing Address
-- MICHAEL LEWIS LARSON P.A.
42575 WASHINGTON ST
PALM DESERT, CA 92211-8850
Phone number: 760-360-0333
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