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Individual
RUTH A LARSON
Active
Individual
RUTH A LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G41388
CA
207ND0101X
MOHS-Micrographic Surgery Physician
G41388
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G413880
—
CA
Enumeration date
07/11/2005
Last updated
11/19/2020
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