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1295058501
LYNN C LARSEN
BRIGHAM CITY, UT
NPI
1295058501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 2141144405)
Enumeration Date
2010-03-02
Last Update Date
2010-03-02
Business Address
-- LYNN C LARSEN FNP
984 MEDICAL DR STE 1
BRIGHAM CITY, UT 84302-4712
Phone number: 435-723-5248
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Mailing Address
-- LYNN C LARSEN FNP
984 MEDICAL DR STE 1
BRIGHAM CITY, UT 84302-4712
Phone number: 435-723-5248
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