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1467434068
SHAWN G LARSON
LOGANSPORT, IN
NPI
1467434068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: WI 40180)
Enumeration Date
2005-11-18
Last Update Date
2016-02-12
Business Address
-- SHAWN G LARSON MD
1015 MICHIGAN AVE
LOGANSPORT, IN 46947-1526
Phone number: 574-722-5151
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Mailing Address
-- SHAWN G LARSON MD
800 FULTON ST
LOGANSPORT, IN 46947-1577
Phone number: 574-722-5151
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