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1588767081
KENNETH S LARSEN
SANDY, UT
NPI
1588767081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: UT 932612681205)
Enumeration Date
2006-09-07
Last Update Date
2007-10-20
Business Address
-- KENNETH S LARSEN MD
9600 S 1300 E #308
SANDY, UT 84094-3766
Phone number: 801-501-5590
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Mailing Address
-- KENNETH S LARSEN MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-501-5590
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