Individual
JONATHAN JEFFREY LARASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2635 N 7TH ST, GRAND JUNCTION, CO 81501-8209
(970) 298-2273
Mailing address
2635 N 7TH ST, GRAND JUNCTION, CO 81501-8209
Taxonomy
Speciality
Code
Description
License number
State
163WF0300X
Flight Registered Nurse
Primary
RN-1641855
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN-1641855
RN STATE LICENSE NUMBER
CO
Enumeration date
02/26/2025
Last updated
02/26/2025
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