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Larson Bergquist
Student in an Organized Health Care Education/Training Program in Henderson, Nevada
NPI 1740854744

Larson Bergquist is a Student in an Organized Health Care Education/Training Program based in Henderson, NV. Larson Bergquist practices in Henderson, NV. The NPI Number for Larson Bergquist is 1740854744 and holds a License No. (Nevada).

The current practice location address for Larson Bergquist is 2056 Sapphire Valley Ave, Henderson, NV and can be reached out via phone at 702-326-5960.

Location: 2056 Sapphire Valley Ave, Henderson, NV, 89074-1532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740854744
Provider Name
Larson Bergquist
Credential
Provider Entity Type
Individual
Gender
Male
Address
2056 Sapphire Valley Ave, Henderson, NV, 89074-1532
Phone Number
702-326-5960
Fax Number
Provider Enumeration Date
05/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2056 Sapphire Valley Ave
City
Henderson
State
Nevada
Zip
89074-1532
Phone Number
702-326-5960
Fax Number
person
Provider Business Mailing Address Details
Address
2056 Sapphire Valley Ave
City
Henderson
State
Nevada
Zip
89074-1532
Phone Number
702-326-5960
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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