Jeffery Scott Larson JR.

NPI 1043596869 - Counselor - 101YM0800X

NPI Details
NPI 1043596869
Gender Male
Enumeration Date 10/25/2011
Last Updated 10/25/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1212 N CALIFORNIA ST
STOCKTON CA, 95202-1552, US
Phone (209) 468-8880
Fax
Business Location
1212 N CALIFORNIA ST
STOCKTON CA, 95202-1552, US
Phone (209) 468-8880
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Mr. Jeffery Scott Larson JR. NPI is 1043596869, taxonomy code is 101YM0800X Jeffery Scott Larson JR. physically located at 1212 N California St, Stockton CA, 95202-1552. NPI Number Jeffery Scott Larson JR. has the Individual type.

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1043596869 NPI number is provided on an as is basis without warranty of any kind. 1043596869 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffery Scott Larson JR. are for informational purposes only.