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1902169972
CHARLES S LARSEN
MARYLAND HEIGHTS, MO
NPI
1902169972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2015023172)
Enumeration Date
2012-06-24
Last Update Date
2020-11-04
Business Address
CHARLES S LARSEN D.O.
2024 DORSETT VLG
MARYLAND HEIGHTS, MO 63043-2208
Phone number: 314-590-0550
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Mailing Address
CHARLES S LARSEN D.O.
PO BOX 955534
SAINT LOUIS, MO 63195-5534
Phone number:
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