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Individual

JAMES LARSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1255 E 3900 S, STE 105, SALT LAKE CITY, UT 84124-1365
(801) 293-3001
(801) 293-7157
Mailing address
1255 E 3900 S, STE 105, SALT LAKE CITY, UT 84124-1365
(801) 293-3001
(801) 293-7157

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
141912-1701
UT

Other

Enumeration date
04/11/2007
Last updated
04/08/2008
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