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1609551720
SARA LARSEN
AMMON, ID
NPI
1609551720
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID N-42254)
Enumeration Date
2023-06-16
Last Update Date
2023-08-07
Business Address
SARA LARSEN PMHNP
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: 208-346-7500
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Mailing Address
SARA LARSEN PMHNP
1209 W 5000 N
REXBURG, ID 83440-3204
Phone number: 208-249-1974
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