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1649300609
STEVEN J. LARSEN
IDAHO FALLS, ID
NPI
1649300609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D-1347)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
Mr. STEVEN J. LARSEN FAGD DDS
1088 N SKYLINE DR
IDAHO FALLS, ID 83402-1726
Phone number: 208-524-0870
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Mailing Address
Mr. STEVEN J. LARSEN FAGD DDS
1088 N SKYLINE DR
IDAHO FALLS, ID 83402-1726
Phone number: 208-524-0870
Copy
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