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1104441666
LARISSA ROSE JARVIS
SAINT PAUL, MN
NPI
1104441666
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Former Name
LARISSA ROSE-BY-ALLAN DAVISSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: MN 438)
Enumeration Date
2020-06-10
Last Update Date
2023-10-02
Business Address
LARISSA ROSE JARVIS CNM
347 SMITH AVE N STE 203
SAINT PAUL, MN 55102-2388
Phone number: 651-241-7733
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Mailing Address
LARISSA ROSE JARVIS CNM
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 126-262-9000
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