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1407277189
TRACY BRENT LARSEN
BAKERSFIELD, CA
NPI
1407277189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CA NA95000043)
Enumeration Date
2013-12-23
Last Update Date
2013-12-23
Business Address
-- TRACY BRENT LARSEN CRNA
2615 CHESTER AVE
BAKERSFIELD, CA 93301-2014
Phone number: 661-395-3000
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Mailing Address
-- TRACY BRENT LARSEN CRNA
2635 G ST
BAKERSFIELD, CA 93301-2813
Phone number: 661-633-1500
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