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MR. GREGORY RAYMOND LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN, CNP

Contact information

Practice address
4572 COUNTY ROAD 61, MOOSE LAKE, MN 55767-9401
(218) 785-2015
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1279791
MN
363LF0000X
Family Nurse Practitioner
263976
WI

Other

Enumeration date
01/19/2024
Last updated
04/25/2024
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