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1144783408
JOHN S LARSON
LAFAYETTE, LA
NPI
1144783408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA 204085)
Enumeration Date
2019-04-12
Last Update Date
2019-04-12
Business Address
JOHN S LARSON APRN
302 DULLES DR
LAFAYETTE, LA 70506-3008
Phone number: 337-262-4100
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Mailing Address
JOHN S LARSON APRN
102 FINSBURY LN
LAFAYETTE, LA 70506
Phone number: 337-344-1406
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