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Individual

JOSHUA DAVID LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1415 E KINCAID ST, MOUNT VERNON, WA 98274-4126
(360) 814-2115
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OP61567888
WA

Other

Enumeration date
05/29/2019
Last updated
09/10/2024
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