ALISHA MARIE LARSON

FORT WASHAKIE, WY
NPI1780842526
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WY  747)
Enumeration Date2008-05-29
Last Update Date2008-05-29
Business Address
Mrs. ALISHA MARIE LARSON RDH BS
29 BLACK COAL DRIVE
FORT WASHAKIE, WY 82514
Phone number: 307-332-3527
Mailing Address
Mrs. ALISHA MARIE LARSON RDH BS
1210 MCDOUGALL DR
LANDER, WY 82520-3531
Phone number: 307-335-5960
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