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Individual

DR. BRIAN M LARSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
507 KNIGHT ST, SUITE B, RICHLAND, WA 99352-4258
(509) 943-4919
Mailing address
507 KNIGHT ST, SUITE B, RICHLAND, WA 99352-4258
(509) 943-4919

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034087
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0227613
LABOR & INDUSTRIES
WA
Enumeration date
04/03/2007
Last updated
04/05/2017
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