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1891895264
JESSE LEE LARSON
EL PASO, TX
NPI
1891895264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 623686)
Enumeration Date
2006-09-25
Last Update Date
2007-07-08
Business Address
-- JESSE LEE LARSON RN
5005 N PIEDRAS ST WBAMC RECOVERY ROOM
EL PASO, TX 79920-5001
Phone number: 915-569-2571
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Mailing Address
-- JESSE LEE LARSON RN
3229 EL MORRO RD
EL PASO, TX 79904-3006
Phone number: 915-307-3339
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