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Individual

MS. MARION ROSE LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1222 S 72ND ST, TACOMA, WA 98408-3009
(979) 739-5847
Mailing address
1222 S 72ND ST, TACOMA, WA 98408-3009
(979) 739-5847

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
WA

Other

Enumeration date
10/27/2015
Last updated
09/24/2024
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