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1144236159
MARC DEVRIES LARSEN
KANSAS CITY, MO
NPI
1144236159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PE0004X Emergency Medicine Emergency Medical Services
(Licence: MO 2006010971)
Enumeration Date
2006-07-31
Last Update Date
2008-03-03
Business Address
MARC DEVRIES LARSEN MD
4401 WORNALL RD
KANSAS CITY, MO 64111
Phone number: 816-932-2047
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Mailing Address
MARC DEVRIES LARSEN MD
PO BOX 78009
ST LOUIS, MO 63178
Phone number: 616-975-9824
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