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1609824143
STEVEN LARSON
BLACKFOOT, ID
NPI
1609824143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: ID O-152)
Enumeration Date
2006-05-05
Last Update Date
2008-07-25
Business Address
Dr. STEVEN LARSON DO
326 POPLAR ST
BLACKFOOT, ID 83221-1741
Phone number: 208-785-5801
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Mailing Address
Dr. STEVEN LARSON DO
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-785-5801
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