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1437455482
MICHELE MARIE LARSON
TOOELE, UT
NPI
1437455482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 375534-4405)
Enumeration Date
2011-02-08
Last Update Date
2011-02-08
Business Address
-- MICHELE MARIE LARSON FNP
1831 N 210 W
TOOELE, UT 84074-9124
Phone number: 435-224-3161
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Mailing Address
-- MICHELE MARIE LARSON FNP
1831 N 210 W
TOOELE, UT 84074-9124
Phone number: 435-224-3161
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