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MELANIE LARSON RN

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1063661247

Individual Registrant:
 MELANIE  LARSON RN
Gender: F
Sole Proprietor

Location and contact information for practice:
70 PATTON HWY  ST. DAVID, AZ 85630 US
Tel: 520-720-4781  Fax: --

Contact information for business:
231 N SIBYL RD  SAINT DAVID, AZ 85630-6172 US
Tel: 520-720-4781  Fax: --

Registration Information:
NPI: 1063661247
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
AZRN098635

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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