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1851489033
RONALD KENNETH LARSEN
STOCKTON, CA
NPI
1851489033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 6677)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
-- RONALD KENNETH LARSEN P.T.
2087 GRAND CANAL BLVD SUITE 17
STOCKTON, CA 95207-6651
Phone number: 209-473-1138
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Mailing Address
-- RONALD KENNETH LARSEN P.T.
2087 GRAND CANAL BLVD SUITE 17
STOCKTON, CA 95207-6651
Phone number: 209-473-1138
Copy
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