Individual
AARON JAY LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
160 E 6TH PL, MESA, AZ 85201-5068
(480) 668-0500
Mailing address
7740 LISBON RD, MORRIS, IL 60450-7615
(815) 685-9833
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0904
AZ
Other
Enumeration date
01/13/2011
Last updated
10/28/2011
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