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1285123919
CATHERINE LARSEN GREEN
CANTON, GA
NPI
1285123919
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Former Name
CATHERINE MARY LARSEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 8766)
Enumeration Date
2018-05-08
Last Update Date
2023-07-17
Business Address
Ms. CATHERINE LARSEN GREEN PA
227 RIVERSTONE DR STE D
CANTON, GA 30114-5256
Phone number: 770-720-7733
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Mailing Address
Ms. CATHERINE LARSEN GREEN PA
227 RIVERSTONE DR STE D
CANTON, GA 30114-5256
Phone number: 770-720-7733
Copy
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