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Individual

CRYSTAL LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
7019 HARPS MILL RD STE 200, RALEIGH, NC 27615-3248
(919) 850-1300
Mailing address
2221 SPRUCE SHADOWS LN, RALEIGH, NC 27614-6918
(203) 558-1145

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5022388
NC

Other

Enumeration date
06/13/2025
Last updated
06/15/2025
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