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Individual

MEGHAN LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
404 FOREST ST, LISBON, ND 58054-4136
(701) 683-6140
Mailing address
PO BOX 89, LISBON, ND 58054-0089
(701) 683-6140

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R34065
ND

Other

Enumeration date
08/11/2016
Last updated
08/11/2016
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