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1528049467
HEIDI C LARSON
SCOTTSBLUFF, NE
NPI
1528049467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: NE 782)
Enumeration Date
2005-11-08
Last Update Date
2011-11-09
Business Address
HEIDI C LARSON PA
2 W 42ND ST SUITE 1200
SCOTTSBLUFF, NE 69361-0617
Phone number: 308-630-1811
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Mailing Address
HEIDI C LARSON PA
2 W 42ND ST SUITE 1200
SCOTTSBLUFF, NE 69361-0617
Phone number: 308-630-1811
Copy
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