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Individual
HARRY TIMOTHY GARRETT
Active
Individual
HARRY TIMOTHY GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036068484
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068484
—
IL
01
—
1215060298
NPI
IL
01
—
1316984594
NPI
IL
01
—
1669514956
NPI
IL
Enumeration date
09/27/2005
Last updated
01/18/2016
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