John Larson
NPI #1669098547 in Watford City, North Dakota
Provider Information
- NPI Number
- 1669098547
- Entity Type
- Individual
- Name
- John Larson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jun 17, 2020
- Last Updated
- Jun 17, 2020
Practice Location
- Address
- 201 5TH ST NW UNIT 790
- City
- Watford City
- State
- North Dakota
- ZIP Code
- 58854-7118
- Phone
- (701) 444-3661
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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