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1710953054
PAMELA A LARSON
MINNEAPOLIS, MN
NPI
1710953054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN R-120297-5)
Enumeration Date
2006-02-27
Last Update Date
2007-07-08
Business Address
PAMELA A LARSON CRNA
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455-0341
Phone number: 612-626-3000
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Mailing Address
PAMELA A LARSON CRNA
15966 71ST PL N
MAPLE GROVE, MN 55311-2543
Phone number:
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