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Individual

CLARISSA LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1424 N. MCDONALD ROAD, SUITE 101, SPOKANE VALLEY, WA 99216-1088
(509) 928-1287
(509) 928-7346
Mailing address
1424 N. MCDONALD ROAD, SUITE 101, SPOKANE VALLEY, WA 99216-1088
(509) 928-1287
(509) 928-7346

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00003853
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0193111
LABOR & INDUSTRIES
WA
Enumeration date
08/25/2006
Last updated
01/28/2010
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