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1073082269
CHRISTINE E LARSON
SALT LAKE CITY, UT
NPI
1073082269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: UT 11049874-3400)
Enumeration Date
2018-11-16
Last Update Date
2018-11-16
Business Address
CHRISTINE E LARSON CPM, LDEM
85 M ST
SALT LAKE CITY, UT 84103-3850
Phone number: 801-867-5943
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Mailing Address
CHRISTINE E LARSON CPM, LDEM
85 M ST
SALT LAKE CITY, UT 84103-3850
Phone number: 801-867-5943
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