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1588194815
MORGAN MAE LARSON
FORESTBURG, SD
NPI
1588194815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SD 2000028214)
Enumeration Date
2017-06-19
Last Update Date
2022-07-21
Business Address
MORGAN MAE LARSON ATC
40320 SD HIGHWAY 34
FORESTBURG, SD 57314-6424
Phone number: 605-933-0485
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Mailing Address
MORGAN MAE LARSON ATC
40320 SD HIGHWAY 34
FORESTBURG, SD 57314-6424
Phone number: 605-933-0485
Copy