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1780954552
DONALD LEE LARSEN
JACKSONVILLE, FL
NPI
1780954552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA8970)
Enumeration Date
2012-01-10
Last Update Date
2012-01-10
Business Address
-- DONALD LEE LARSEN COTA/L, RN
11565 HARTS RD
JACKSONVILLE, FL 32218-3777
Phone number: 904-751-1834
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Mailing Address
-- DONALD LEE LARSEN COTA/L, RN
4205 VICTORIA LAKES DR W
JACKSONVILLE, FL 32226-0705
Phone number: 904-502-3866
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