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Individual

JASON LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RRT

Contact information

Practice address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4686
(907) 714-4961
Mailing address
109 BLACKSTONE ST, SOLDOTNA, AK 99669-7869
(907) 252-9877

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary

Other

Enumeration date
10/03/2013
Last updated
10/03/2013
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