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1891770947
GERALD L LARSON
BURTON, MI
NPI
1891770947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101007523)
Enumeration Date
2005-12-13
Last Update Date
2007-07-08
Business Address
-- GERALD L LARSON DO
1459 S CENTER RD
BURTON, MI 48509-1726
Phone number: 810-496-0900
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Mailing Address
-- GERALD L LARSON DO
401 S BALLENGER HWY
FLINT, MI 48532-3638
Phone number: 810-342-1000
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