Individual
PATTI LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PATTI LARSON
Contact information
Practice address
51 GRANT AVE, WILLOW LAKE, SD 57278-2331
(605) 625-2592
Mailing address
51 GRANT AVE, WILLOW LAKE, SD 57278-2331
(605) 625-2592
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
0297
SD
174H00000X
Health Educator
Primary
1359
SD
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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