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1003096140
DENNIS P LARSON
BELLEVILLE, IL
NPI
1003096140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036-085681)
Enumeration Date
2007-11-06
Last Update Date
2007-11-06
Business Address
Dr. DENNIS P LARSON M.D.
509 E WATERS EDGE DR
BELLEVILLE, IL 62221-7813
Phone number: 618-235-1510
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Mailing Address
Dr. DENNIS P LARSON M.D.
509 E WATERS EDGE DR
BELLEVILLE, IL 62221-7813
Phone number: 618-235-1510
Copy
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