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1861948010
ANDREA LOIS LARSON
FORT DODGE, IA
NPI
1861948010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IA A128100)
Enumeration Date
2016-08-28
Last Update Date
2016-11-21
Business Address
-- ANDREA LOIS LARSON ARNP
800 KENYON RD
FORT DODGE, IA 50501-5776
Phone number: 515-574-6840
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Mailing Address
-- ANDREA LOIS LARSON ARNP
PO BOX 9170
DES MOINES, IA 50306-9170
Phone number: 515-574-6840
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