Individual
KATIE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 AVENUE C, CLOQUET, MN 55720
(218) 879-1556
Mailing address
123 AVENUE C, CLOQUET, MN 55720-1563
(218) 879-1556
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
6471
MN
Other
Enumeration date
01/24/2018
Last updated
11/01/2019
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