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1760875843
BENJAMIN LARSON
VISALIA, CA
NPI
1760875843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT42353)
Enumeration Date
2015-03-12
Last Update Date
2015-03-12
Business Address
DR. BENJAMIN LARSON DPT
4930 W KAWEAH CT 203
VISALIA, CA 93277-8324
Phone number: 559-713-6806
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Mailing Address
DR. BENJAMIN LARSON DPT
368 W OLIVE AVE
PORTERVILLE, CA 93257-3318
Phone number: 559-782-1501
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