Mary F Larson LRD, MPH

NPI 1619133832 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1619133832
Gender Female
Enumeration Date 08/07/2008
Last Updated 08/07/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
306 4TH STREET NORTH
FARGO ND, 58102-4820, US
Phone (701) 271-3344
Fax (701) 271-3343
Business Location
PO BOX 2625
FAMILY HEALTHCARE CENTER
FARGO ND, 58108-2625, US
Phone (701) 271-3344
Fax (701) 271-3343
Toxanomy
Taxonomy Code 133V00000X
License State North Dakota
License Number 435
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According to our database, Mrs. Mary F Larson LRD, MPH NPI is 1619133832, taxonomy code is 133V00000X and license number is 435, license state is located at North Dakota. Mary F Larson LRD, MPH physically located at 306 4th Street North, Fargo ND, 58102-4820. NPI Number Mary F Larson LRD, MPH has the Individual type.

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1619133832 NPI number is provided on an as is basis without warranty of any kind. 1619133832 is maintained by the National Plan & Provider Enumeration System. The contents of Mary F Larson LRD, MPH are for informational purposes only.