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Individual
MRS. VALERIE A. LARSON
Active
Individual
MRS. VALERIE A. LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4884
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008142
WELLMARK BCBS OF SD
SD
01
—
0108605
MEDICA
—
05
—
063425500
—
MN
01
—
1402966
AMERICAS PPO
—
01
—
233740
MIDLANDS CHOICE
—
01
—
4884
DAKOTACARE
SD
01
—
4996052
WELLMARK BCBS OF SD
SD
01
—
55F71LA
BCBS OF MN
MN
05
—
5610960
—
SD
05
—
5610962
—
SD
01
—
57022A009
TRICARE
—
01
—
AH9021028613
PREFFERED ONE
—
Enumeration date
03/15/2006
Last updated
06/03/2010
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