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Individual

MRS. EDNA MAE HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6970 E 22ND ST, SUITE #110, TUCSON, AZ 85710-5121
(520) 290-1121
Mailing address
6970 E 22ND ST, SUITE #110, TUCSON, AZ 85710-5121
(520) 290-1121

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary

Other

Enumeration date
04/20/2012
Last updated
04/20/2012
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