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1740352392
JORDAN ALBRIGHT LARSON
SANTA MARIA, CA
NPI
1740352392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: CA PT 21537)
Enumeration Date
2006-11-15
Last Update Date
2007-07-08
Business Address
-- JORDAN ALBRIGHT LARSON P.T., O.C.S.
1105 E FOSTER RD STE B
SANTA MARIA, CA 93455-6400
Phone number: 805-934-0663
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Mailing Address
-- JORDAN ALBRIGHT LARSON P.T., O.C.S.
247 SANTA FE AVE
PISMO BEACH, CA 93449-1948
Phone number:
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