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1679017446
AUTUM JEAN LARSEN
DES MOINES, IA
NPI
1679017446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: IA B128964)
Enumeration Date
2016-12-13
Last Update Date
2018-12-03
Business Address
AUTUM JEAN LARSEN CNM
3714 INGERSOLL AVE
DES MOINES, IA 50312-3411
Phone number: 515-309-6011
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Mailing Address
AUTUM JEAN LARSEN CNM
3714 INGERSOLL AVE
DES MOINES, IA 50312-3411
Phone number: 515-309-6011
Copy
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