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1942789318
MARK LARSON
LEXINGTON, SC
NPI
1942789318
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 19410)
Enumeration Date
2018-08-07
Last Update Date
2018-08-07
Business Address
MARK LARSON FNP-C
2373 AUGUSTA HWY
LEXINGTON, SC 29072-2213
Phone number: 803-951-0786
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Mailing Address
MARK LARSON FNP-C
2373 AUGUSTA HWY
LEXINGTON, SC 29072-2213
Phone number: 803-951-0786
Copy
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