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Individual

ROGER JACK HARRIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
6430 US ROUTE 60 E, BARBOURSVILLE, WV 25504-1240
(304) 736-4111
(304) 736-0334
Mailing address
6430 US ROUTE 60 E, BARBOURSVILLE, WV 25504-1240
(304) 736-4111
(304) 736-0334

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
722
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7600098000
WV
Enumeration date
06/06/2006
Last updated
01/13/2014
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