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1205997616
LEAH M LARSON
CLINTON TWP, MI
NPI
1205997616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704186606)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
-- LEAH M LARSON CRNA
15855 19 MILE RD
CLINTON TWP, MI 48038-3504
Phone number: 586-263-2371
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Mailing Address
-- LEAH M LARSON CRNA
15855 19 MILE RD
CLINTON TWP, MI 48038-3504
Phone number: 586-263-2371
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