Individual
DORIS MARY LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
560 W FIR AVE, FERGUS FALLS, MN 56537-1364
(218) 385-5507
Mailing address
560 W FIR AVE, FERGUS FALLS, MN 56537-1364
(218) 385-5507
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R 077101-2
MN
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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