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Individual
DR. MARY C HARBOR
Active
Individual
DR. MARY C HARBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01043329
IN
208000000X
Pediatrics Physician
Primary
MD28620
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023682
—
OR
05
—
200045150A
—
IN
Enumeration date
09/29/2005
Last updated
01/09/2013
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