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Individual
HARRY GEORGE JR.
Active
Individual
HARRY GEORGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MANAGER
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
172A00000X
Driver
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84-2395933
TRANSPORTATION
MO
Enumeration date
08/06/2019
Last updated
08/16/2022
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