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1326024191
WADE B LARSEN
LAYTON, UT
NPI
1326024191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: UT 52642531205)
Enumeration Date
2005-12-22
Last Update Date
2012-07-23
Business Address
WADE B LARSEN MD
2121 N 1700 W
LAYTON, UT 84041-8803
Phone number: 801-773-4840
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Mailing Address
WADE B LARSEN MD
PO BOX 337
LAYTON, UT 84041-0337
Phone number: 801-773-4840
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