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1164450821
E. WAYNE LARSEN
BOUNTIFUL, UT
NPI
1164450821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: UT 187423-1205)
Enumeration Date
2006-06-29
Last Update Date
2007-10-18
Business Address
-- E. WAYNE LARSEN M.D.
630 MEDICAL DR
BOUNTIFUL, UT 84010-4908
Phone number: 801-299-2160
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Mailing Address
-- E. WAYNE LARSEN M.D.
630 MEDICAL DR
BOUNTIFUL, UT 84010-4908
Phone number: 801-299-2160
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