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1477668804
LARRY PAUL LARSON
LONGVIEW, WA
NPI
1477668804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA WA 00037185)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
-- LARRY PAUL LARSON M.D.
1230 7TH AVE
LONGVIEW, WA 98632-3166
Phone number: 360-575-4801
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Mailing Address
-- LARRY PAUL LARSON M.D.
1608 TARA CT
KELSO, WA 98626-5252
Phone number: 360-501-5289
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