Individual
CAROL N LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4405 E 26TH ST, SIOUX FALLS, SD 57103-4136
(605) 332-2883
(605) 332-9101
Mailing address
4405 E 26TH ST, SIOUX FALLS, SD 57103-4136
(605) 332-2883
(605) 332-9101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0253
SD
Other
Enumeration date
07/25/2006
Last updated
05/09/2008
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