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Individual
MRS. MELANIE LARSSON
Active
Individual
MRS. MELANIE LARSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CO005461
NC
224P00000X
Prosthetist
Primary
CPO03776
NC
Other
Enumeration date
03/02/2015
Last updated
09/15/2016
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