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Individual

AMY JO HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
209 W HIGHWAY ST, DONIPHAN, MO 63935
(573) 351-2338
Mailing address
209 W HIGHWAY ST, DONIPHAN, MO 63935-1004
(573) 351-2338

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2010027223
MO

Other

Enumeration date
01/10/2018
Last updated
03/15/2019
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