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1982937827
KEITH LARSON NEUROLOGY PLLC
SAINT CLOUD, MN
NPI
1982937827
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Entity Type
Organization
Authorized Contact
KEITH DARRYL LARSON
President
320-217-8880
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: MN 22693)
Enumeration Date
2009-09-10
Last Update Date
2009-09-10
Business Address
KEITH LARSON NEUROLOGY PLLC
1511 NORTHWAY DR SUITE 202
SAINT CLOUD, MN 56303-1261
Phone number: 320-217-8880
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Mailing Address
KEITH LARSON NEUROLOGY PLLC
1511 NORTHWAY DR SUITE 202
SAINT CLOUD, MN 56303-1261
Phone number: 320-217-8880
Copy
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