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1922213941
BRANT ADAM LARSEN
FOREST LAKE, MN
NPI
1922213941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: MN 4631)
Enumeration Date
2007-05-12
Last Update Date
2007-07-08
Business Address
Dr. BRANT ADAM LARSEN Brant Larsen D.C.
25 LAKE ST N SUITE 217
FOREST LAKE, MN 55025-2535
Phone number: 651-982-1804
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Mailing Address
Dr. BRANT ADAM LARSEN Brant Larsen D.C.
25 LAKE ST N SUITE 217
FOREST LAKE, MN 55025-2535
Phone number: 651-982-1804
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