Provider Information for 1689998098
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Dr. KARYN LARSON SMITH
Sex: Female
NPI: 1689998098
Last Updated: 2010-03-15
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||||||||||
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| NPI | 1689998098 | ||||||||||||||||||||||||
| Enumeration Date | 2010-03-15 | ||||||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||||||
| Status | Active | ||||||||||||||||||||||||
| Mailing Address | 1500 1ST AVE NE STE 210 ROCHESTER, MN 55906-4170 United States Phone: 507-288-5629 | Fax: | ||||||||||||||||||||||||
| Primary Practice Address | 1500 1ST AVE NE STE 210 ROCHESTER, MN 55906-4170 United States Phone: 507-288-5629 | Fax: | ||||||||||||||||||||||||
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