MR. Matthew J Larson

NPI #1417113648 in Mankato, Minnesota

Provider Information

NPI Number: 1417113648
Entity Type: Individual
Name: MR. Matthew J Larson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Aug 7, 2008
Last Updated: Aug 7, 2008

Practice Location

Address: 2112 HOFFMAN RD
City: Mankato
State: Minnesota
ZIP Code: 56001-5829
Phone: (507) 351-9111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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