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Individual
MR. DAVID LARS CHRISTIAN JOHNSRUD
Active
Individual
MR. DAVID LARS CHRISTIAN JOHNSRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, MAC, BSN
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
60607354
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RNP289863
AZ
Other
Enumeration date
03/30/2022
Last updated
10/16/2023
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