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1982175824
MALISSA ANN LARSON
BUFFALO, NY
NPI
1982175824
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374J00000X Doula
Additional Taxonomies
103TE1100X Psychologist, Exercise & Sports
Enumeration Date
2018-12-17
Last Update Date
2019-06-11
Business Address
Miss MALISSA ANN LARSON
192 RICHMOND AVE
BUFFALO, NY 14222-2112
Phone number: 646-823-5401
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Mailing Address
Miss MALISSA ANN LARSON
192 RICHMOND AVE
BUFFALO, NY 14222-2112
Phone number: 646-823-5401
Copy
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