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Individual
JAMES C. LARSEN
Active
Individual
JAMES C. LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4487A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
810542541
COMMERCIAL
MT
Enumeration date
01/29/2007
Last updated
08/09/2018
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