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1609865203
DALLEN J LARSON
OGDEN, UT
NPI
1609865203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 3322321206)
Enumeration Date
2005-10-17
Last Update Date
2017-01-17
Business Address
-- DALLEN J LARSON PA-C
4650 HARRISON BLVD
OGDEN, UT 84403-4303
Phone number: 801-475-3021
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Mailing Address
-- DALLEN J LARSON PA-C
PO BOX 5546
DENVER, CO 80217-5546
Phone number: 801-475-3021
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