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Individual

DR. ADRIAN LARSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1875 N LAKES PL, MERIDIAN, ID 83646-1921
(208) 412-4158
Mailing address
1875 N LAKES PL, MERIDIAN, ID 83646-1921

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA1086
ID
171100000X
Acupuncturist
ACC-192
ID

Other

Enumeration date
10/17/2006
Last updated
09/07/2010
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