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Individual

CONNIE JO LARKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
HWY 160/163 BUILDING KA2010, DHHS NAIHS PHS KAYENTA HEALTH CENTER, KAYENTA, AZ 86033-0368
(928) 697-4000
(928) 697-4145
Mailing address
PO BOX 368, KAYENTA, AZ 86033-0368
(928) 697-4000
(928) 697-4145

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-45252-102
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
060012
AZ
Enumeration date
07/03/2006
Last updated
01/25/2012
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