Individual
DR. GLENN R LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2323 CURLEW ROAD, SUITE 7E, DUNEDIN, FL 34698
(727) 600-8024
Mailing address
PO BOX 67012, ST PETERSBURG, FL 33736
(718) 877-5409
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
30811
CA
Other
Enumeration date
08/21/2008
Last updated
02/22/2023
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