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1760713994
LEWIS RODNEY LARSEN
PHOENIX, AZ
NPI
1760713994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AZ 1170)
Enumeration Date
2010-01-28
Last Update Date
2010-01-28
Business Address
Dr. LEWIS RODNEY LARSEN
6831 S CENTRAL AVE
PHOENIX, AZ 85042-5420
Phone number: 602-268-8881
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Mailing Address
Dr. LEWIS RODNEY LARSEN
6831 SOUTH CENTRAL AVE
PHOENIX, AZ 85042
Phone number:
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