Individual
CLORRISA JO LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 E HOWARD ST STE 302, HIBBING, MN 55746-1772
(218) 421-6350
Mailing address
302 E HOWARD ST STE 302, HIBBING, MN 55746-1772
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
745585
MN
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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