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1518116516
EVA LARSON
AUGUSTA, GA
NPI
1518116516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 005093)
Enumeration Date
2008-09-15
Last Update Date
2008-09-15
Business Address
-- EVA LARSON PA
1350 WALTON WAY
AUGUSTA, GA 30901-2612
Phone number: 706-774-2176
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Mailing Address
-- EVA LARSON PA
5665 NEW NORTHSIDE DR NW SUITE 320
ATLANTA, GA 30328-5831
Phone number: 770-874-5400
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