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1821374976
STACEY LARSON
DETROIT LAKES, MN
NPI
1821374976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MN 102192)
Enumeration Date
2011-11-02
Last Update Date
2011-11-02
Business Address
-- STACEY LARSON OTR/L
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501-3409
Phone number: 218-844-2300
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Mailing Address
-- STACEY LARSON OTR/L
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501-3409
Phone number: 218-844-2300
Copy
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