MARCUS JOHN LARSON

GREENWOOD, IN
NPI1902295561
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36001943A)
Enumeration Date2015-01-20
Last Update Date2015-01-20
Business Address
-- MARCUS JOHN LARSON ATC, LAT
1401 W COUNTY LINE RD
GREENWOOD, IN 46142-5195
Phone number: 317-496-1248
Mailing Address
-- MARCUS JOHN LARSON ATC, LAT
3416 WINCHESTER DR
GREENWOOD, IN 46143-8451
Phone number:
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