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1962562603
STEVEN WAYNE LARSEN
WEST JORDAN, UT
NPI
1962562603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 311434-4405)
Enumeration Date
2006-12-11
Last Update Date
2013-02-21
Business Address
-- STEVEN WAYNE LARSEN FNP
3354 W 7800 S
WEST JORDAN, UT 84088-4506
Phone number: 801-282-2677
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Mailing Address
-- STEVEN WAYNE LARSEN FNP
3354 W 7800 S
WEST JORDAN, UT 84088-4506
Phone number: 801-282-2677
Copy
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