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1467638031
KIRK RUSSEL LARSON
DALLAS, TX
NPI
1467638031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 661498)
Enumeration Date
2008-01-14
Last Update Date
2015-10-29
Business Address
-- KIRK RUSSEL LARSON CRNA
6606 LBJ FWY STE 200
DALLAS, TX 75240-6524
Phone number: 972-715-5000
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Mailing Address
-- KIRK RUSSEL LARSON CRNA
PO BOX 650865
DALLAS, TX 75265-0865
Phone number: 972-715-5000
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