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Crystal Larson
NPI 1861252082 · on the registry since 2024 · sole proprietor
Practice
- Address
- 11204 86th Ave N
Maple Grove, MN 55369 - Phone
- (612) 470-0105
- Fax
- (612) 299-1425
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Also registered as
- 374U00000X
376J00000X
376K00000X
385H00000X - Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-22
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