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Jaime Larson

NPI 1073275053 · on the registry since 2021 · sole proprietor

Practice

Address
2160 60th Ave Ne
Willmar, MN 56201
Phone
(507) 299-0436
Clinicians at this address
2

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101Y00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota