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Individual

KEENAN LARSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
88 MDG/SGHJ 4881 SUGAR MAPLE DR., WRIGHT PATTERSON AFB, OH 45433
(937) 522-2778
Mailing address
88 MDG/SGHJ 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433
(937) 522-2778

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO-06265
IA

Other

Enumeration date
05/27/2020
Last updated
08/02/2023
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