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1669098547
JOHN LARSON
WATFORD CITY, ND
NPI
1669098547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-06-17
Last Update Date
2020-06-17
Business Address
JOHN LARSON
201 5TH ST NW UNIT 790
WATFORD CITY, ND 58854-7118
Phone number: 701-444-3661
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Mailing Address
JOHN LARSON
201 5TH ST NW UNIT 790
WATFORD CITY, ND 58854-7118
Phone number: 701-444-3661
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