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1043379829
KENNETH B LARSON
SAFFORD, AZ
NPI
1043379829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 1090)
Enumeration Date
2006-12-07
Last Update Date
2017-02-21
Business Address
-- KENNETH B LARSON PA
1600 S 20TH AVE
SAFFORD, AZ 85546-4011
Phone number: 928-348-4021
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Mailing Address
-- KENNETH B LARSON PA
2250 W 16TH ST
SAFFORD, AZ 85546-4081
Phone number: 928-428-1947
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