Individual
DEBORAH K. LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1504 N 18TH ST, BISMARCK, ND 58501-2863
(701) 224-8579
Mailing address
1504 N 18TH ST, BISMARCK, ND 58501-2863
(701) 224-8579
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473790
—
ND
Enumeration date
04/20/2022
Last updated
04/20/2022
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