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Individual

AMY JO LARSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
3311 RIVERBEND DR, SPRINGFIELD, OR 97477-8800
(541) 484-4332
Mailing address
346 BROADWAY ST, SPRINGFIELD, OR 97477-3019
(541) 513-3569

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10023010
OR

Other

Enumeration date
03/06/2024
Last updated
03/06/2024
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