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1477968303
JOSEPH LARSON
DES MOINES, IA
NPI
1477968303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA R-10105)
Enumeration Date
2014-06-30
Last Update Date
2014-06-30
Business Address
-- JOSEPH LARSON
840 E UNIVERSITY AVE
DES MOINES, IA 50316-2304
Phone number: 515-265-4211
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Mailing Address
-- JOSEPH LARSON
840 E UNIVERSITY AVE
DES MOINES, IA 50316-2304
Phone number: 515-265-4211
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