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1720291701
GERALD DUANE LARSON
PARK RIVER, ND
NPI
1720291701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ND 1355)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
Dr. GERALD DUANE LARSON DDS
418 BRIGGS AVE S
PARK RIVER, ND 58270-0662
Phone number: 701-284-6131
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Mailing Address
Dr. GERALD DUANE LARSON DDS
PO BOX 662
PARK RIVER, ND 58270-0662
Phone number: 701-284-6131
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