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1962053017
MIKALA LARSEN
SAINT GEORGE, UT
NPI
1962053017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 8500357-4405)
Enumeration Date
2019-09-20
Last Update Date
2019-09-20
Business Address
MIKALA LARSEN
1380 S MEDICAL CENTER DR.
SAINT GEORGE, UT 84790
Phone number: 435-251-1939
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Mailing Address
MIKALA LARSEN
1167 E 400 S UNIT 26
SAINT GEORGE, UT 84790-5773
Phone number: 435-680-0792
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