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1114336278
BROOKE LOU LARSON
FAYETTEVILLE, AR
NPI
1114336278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2014-08-03
Last Update Date
2014-08-03
Business Address
-- BROOKE LOU LARSON PA-C
2630 E CITIZENS DR
FAYETTEVILLE, AR 72703-4797
Phone number: 479-527-9966
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Mailing Address
-- BROOKE LOU LARSON PA-C
703 S BROOKSIDE CT
ROGERS, AR 72758-8157
Phone number: 858-361-2837
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