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1750300216
RYAN L LARSEN
EUREKA, CA
NPI
1750300216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA17509)
Enumeration Date
2006-07-18
Last Update Date
2015-02-18
Business Address
-- RYAN L LARSEN PA-C
2826 HARRIS ST
EUREKA, CA 95503-4809
Phone number: 707-443-8066
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Mailing Address
-- RYAN L LARSEN PA-C
2826 HARRIS ST
EUREKA, CA 95503-4809
Phone number: 707-443-8066
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