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Individual

MRS. PATRICIA JEANENE HARLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1048 LEES CHAPEL RD, ALBANY, KY 42602
(606) 306-1225
(317) 780-3745
Mailing address
1048 LEES CHAPEL RD, ALBANY, KY 42602
(606) 306-1225
(317) 780-3745

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
R-2791
KY
225000000X
Orthotic Fitter
R2791
KY

Other

Enumeration date
12/19/2005
Last updated
05/20/2013
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