CODY LARSON

WAHIAWA, HI
NPI1831496496
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2011-02-17
Last Update Date2011-02-17
Business Address
-- CODY LARSON PAC
677 MCCORNACK RD
WAHIAWA, HI 96786
Phone number: 808-354-8185
Mailing Address
-- CODY LARSON PAC
92-104 WAIALII PL APT O-1021
KAPOLEI, HI 96707-4425
Phone number: 808-354-8185
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