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1922045053
JEFFREY A LARSEN
SIOUX CITY, IA
NPI
1922045053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IA 072400)
Enumeration Date
2006-05-31
Last Update Date
2008-05-01
Business Address
-- JEFFREY A LARSEN CRNA
2720 STONE PARK BLVD
SIOUX CITY, IA 51104-3734
Phone number: 712-255-2324
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Mailing Address
-- JEFFREY A LARSEN CRNA
PO BOX 683
SIOUX CITY, IA 51102-0683
Phone number: 712-255-2324
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