Individual
KAE LESLIE LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7521 SW 56TH AVE, GAINESVILLE, FL 32608-4402
(904) 945-5488
(352) 378-8602
Mailing address
7521 SW 56TH AVE, GAINESVILLE, FL 32608-4402
(904) 945-5488
(352) 378-8602
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
5024
FL
Other
Enumeration date
03/31/2009
Last updated
03/31/2009
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