Individual
JENNIFER LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 MONTREAL ST SE, HUTCHINSON, MN 55350-3318
(320) 587-2509
Mailing address
745 CENTURY AVE SW APT 203, HUTCHINSON, MN 55350-3736
(320) 405-6467
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
819089
MN
Other
Enumeration date
05/23/2021
Last updated
05/23/2021
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