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1952462384
KENNETH G LARSON
SAGINAW, MI
NPI
1952462384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MI 4901002177)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
-- KENNETH G LARSON O.D.
4580 STATE ST GREEN ACRES PLAZA
SAGINAW, MI 48603-3803
Phone number: 989-799-0171
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Mailing Address
-- KENNETH G LARSON O.D.
540 1ST AVE
HALE, MI 48739-9158
Phone number: 989-473-3459
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