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Individual
CHARLES A LARRISON
Active
Individual
CHARLES A LARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C6436
AR
208M00000X
Hospitalist Physician
C-6436
AR
Other
Enumeration date
08/09/2005
Last updated
03/20/2018
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