Individual
JEFFERY LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
15816 N PENNSYLVANIA AVE STE 2, EDMOND, OK 73013-7334
(405) 755-6557
(405) 513-6612
Mailing address
15816 N PENNSYLVANIA AVE STE 2, EDMOND, OK 73013-7334
(405) 755-6557
(405) 513-6612
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
6352
OK
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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