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Mark Larson, MT
NPI 1265876056 · on the registry since 2013 · sole proprietor
Practice
- Address
- 10093 Sunny Ln
Ooltewah, TN 37363 - Phone
- (423) 838-8906
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-04-23
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 Tennessee