Individual
MRS. CHERYL B LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3822 IONA WAY SW, ALEXANDRIA, MN 56308-4802
(320) 762-1933
Mailing address
3822 IONA WAY SW, ALEXANDRIA, MN 56308-4802
(320) 762-1933
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
R0712783
MN
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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