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Individual
JUSTINE JULIA LARSON
Active
Individual
JUSTINE JULIA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101249483
VA
2084P0804X
Child & Adolescent Psychiatry Physician
0101249483
VA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
D63655
MD
Other
Enumeration date
02/27/2007
Last updated
12/09/2014
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