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Organization
TAILORED MADE HAIR REPLACEMENT CENTER LLC
Active
Organization
TAILORED MADE HAIR REPLACEMENT CENTER LLC
Active
Other names
Tailored Made Hair
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI ANN HARRIS (HAIR SPECIALIST)
(573) 818-8554
Entity
Organization
Contact information
Practice address
201 W SWITZLER ST STE B, CENTRALIA, MO 65240-1594
(573) 818-8554
Mailing address
2521 LAORIS ST, COLUMBIA, MO 65202-2224
(573) 818-8554
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
NULL
1744P3200X
Prosthetics Case Management
—
—
224P00000X
Prosthetist
Primary
—
NULL
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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