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1811377385
MCLEOD LARSEN
FAIRFIELD, CA
NPI
1811377385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA SP 22835)
Enumeration Date
2015-05-31
Last Update Date
2015-05-31
Business Address
-- MCLEOD LARSEN
707 KENTUCKY ST
FAIRFIELD, CA 94533-5515
Phone number: 707-759-3716
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Mailing Address
-- MCLEOD LARSEN
4331 GREEN TREE DR
SACRAMENTO, CA 95823-1978
Phone number: 916-220-2020
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