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Individual

JENNIE HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1570 ADAMS ST, MANKATO, MN 56001-5192
(507) 386-0288
Mailing address
1570 ADAMS ST, MANKATO, MN 56001-5192
(507) 386-0288
(507) 386-0438

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D14291
MN

Other

Enumeration date
03/16/2016
Last updated
05/25/2021
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