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1346343373
SCOTT COBURN LARSEN
JACKSON, WY
NPI
1346343373
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WY 1060)
Enumeration Date
2006-09-06
Last Update Date
2007-07-08
Business Address
Dr. SCOTT COBURN LARSEN DMD
245 E BROADWAY
JACKSON, WY 83001
Phone number: 307-733-4778
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Mailing Address
Dr. SCOTT COBURN LARSEN DMD
PO BOX 4935 245 E BROADWAY
JACKSON, WY 83001
Phone number: 307-733-4778
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