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1942085279
ERIC GREGORY LARSON
GARDEN GROVE, CA
NPI
1942085279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 142315)
Enumeration Date
2023-08-25
Last Update Date
2023-10-30
Business Address
ERIC GREGORY LARSON
12966 EUCLID ST STE 280
GARDEN GROVE, CA 92840-9202
Phone number: 714-823-4770
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Mailing Address
ERIC GREGORY LARSON
PO BOX 2552
ORANGE, CA 92859-0552
Phone number: 323-459-2369
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