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Individual
MS. EDNA MAE HARRIS
Active
Individual
MS. EDNA MAE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
425721
CA
163WG0000X
General Practice Registered Nurse
RN112310
AZ
363L00000X
Nurse Practitioner
Primary
425721
CA
Other
Enumeration date
07/12/2006
Last updated
09/05/2017
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