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Individual
KIRSTIN C HARRIS
Active
Individual
KIRSTIN C HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9635982-3102
UT
363L00000X
Nurse Practitioner
Primary
8256897-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/18/2023
Last updated
06/27/2024
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