Paul R Larsen

NPI 1003058504 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1003058504
Gender Male
Enumeration Date 03/30/2009
Last Updated 03/30/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
327 COLLEGE AVE
SANTA ROSA CA, 95401-5117, US
Phone (707) 568-2800
Fax (707) 568-2804
Business Location
327 COLLEGE AVE.
SANTA ROSA CA, 95401, US
Phone (707) 568-2800
Fax (707) 568-2804
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Mr. Paul R Larsen NPI is 1003058504, taxonomy code is 171M00000X Paul R Larsen physically located at 327 College Ave, Santa Rosa CA, 95401-5117. NPI Number Paul R Larsen has the Individual type.

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1003058504 NPI number is provided on an as is basis without warranty of any kind. 1003058504 is maintained by the National Plan & Provider Enumeration System. The contents of Paul R Larsen are for informational purposes only.