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1477205631
CARLY MICHELLE LARSON
KERNERSVILLE, NC
NPI
1477205631
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Former Name
CARLY ROSS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-01-19
Last Update Date
2023-02-04
Business Address
CARLY MICHELLE LARSON PA-C
861 OLD WINSTON RD
KERNERSVILLE, NC 27284-7140
Phone number: 336-716-8091
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Mailing Address
CARLY MICHELLE LARSON PA-C
1901 MOONEY ST
WINSTON SALEM, NC 27103-3027
Phone number:
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