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1205490661
ERIC JACOB LARSEN
MOUNT VERNON, WA
NPI
1205490661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA AP60956123)
Enumeration Date
2019-04-30
Last Update Date
2021-10-06
Business Address
ERIC JACOB LARSEN DNP
1415 E KINCAID ST
MOUNT VERNON, WA 98274-4126
Phone number: 360-424-4111
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Mailing Address
ERIC JACOB LARSEN DNP
1415 E KINCAID ST
MOUNT VERNON, WA 98274-4126
Phone number:
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