CASEY BLAINE LARSON

TAMPA, FL
NPI1942434998
Former NameCASEY BLAINE LARSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP 9267893)
Enumeration Date2009-05-05
Last Update Date2019-07-26
Business Address
CASEY BLAINE LARSON APRN
8801 W LINEBAUGH AVE
TAMPA, FL 33626
Phone number: 866-389-2727
Mailing Address
CASEY BLAINE LARSON APRN
8801 W LINEBAUGH AVE
TAMPA, FL 33626-1848
Phone number: 668-389-2727
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