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1801194840
SCOTT WESLEY LARSON
NEWPORT BEACH, CA
NPI
1801194840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: CA psy19684)
Enumeration Date
2011-02-28
Last Update Date
2011-02-28
Business Address
-- SCOTT WESLEY LARSON Ph.D.
1151 DOVE ST STE 240
NEWPORT BEACH, CA 92660-2806
Phone number: 949-689-6047
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Mailing Address
-- SCOTT WESLEY LARSON Ph.D.
1151 DOVE ST STE 240
NEWPORT BEACH, CA 92660-2806
Phone number: 949-689-6047
Copy
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