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Individual

DR. WILLIAM DAVID HARRIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
RURAL ROUTE 5 BOX 46, ESPANOLA, NM 87532
(505) 753-9421
Mailing address
RR 5 BOX 46, RR 5 BOX 446, ESPANOLA, NM 87532
(505) 753-9421

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19949
NC

Other

Enumeration date
09/18/2008
Last updated
01/27/2010
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