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1801077375
AMY MICHELLE LARSEN
RIVERSIDE, CA
NPI
1801077375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 606371)
Enumeration Date
2007-11-26
Last Update Date
2007-11-26
Business Address
Miss AMY MICHELLE LARSEN R.N, PHN
5256 MISSION BOULEVARD
RIVERSIDE, CA 92509-4624
Phone number: 951-955-5328
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Mailing Address
Miss AMY MICHELLE LARSEN R.N, PHN
4065 COUNTY CIRCLE DR
RIVERSIDE, CA 92503-3410
Phone number: 951-358-5438
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