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1821158346
ANDREA LARSON
RUTLAND, VT
NPI
1821158346
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VT 055-0030490)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
-- ANDREA LARSON PA-C
160 ALLEN ST
RUTLAND, VT 05701-4560
Phone number: 802-775-7111
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Mailing Address
-- ANDREA LARSON PA-C
1047 MAIN ST
WEST RUTLAND, VT 05777-9526
Phone number:
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