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Individual

DARREN THOMAS LARSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CSFA

Contact information

Practice address
PO BOX 10084, TYLER, TX 75711-0084
(979) 549-1217
Mailing address
652 MCKEEVER RD, LUFKIN, TX 75901-2339
(979) 549-1217

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary

Other

Enumeration date
10/09/2024
Last updated
10/09/2024
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