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Individual
SECRET DENISE HARRIS
Active
Individual
SECRET DENISE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN. 339649
OH
164W00000X
Licensed Practical Nurse
Primary
PN 116595
OH
Other
Enumeration date
07/23/2007
Last updated
05/22/2009
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