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1134113822
RICHARD D. LARSON
LOUISVILLE, KY
NPI
1134113822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 27160)
Enumeration Date
2005-09-08
Last Update Date
2011-03-10
Business Address
-- RICHARD D. LARSON M.D.
2215 PORTLAND AVE
LOUISVILLE, KY 40212-1033
Phone number: 502-774-8631
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Mailing Address
-- RICHARD D. LARSON M.D.
2215 PORTLAND AVE
LOUISVILLE, KY 40212-1033
Phone number: 502-774-8631
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