Individual
MIRLIE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 SUNSET CT, 6F, SOUTH CHARLESTON, OH 45368-7619
(937) 536-5435
Mailing address
400 SUNSET CT, 6F, SOUTH CHARLESTON, OH 45368-7619
(937) 536-5435
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400356920504
OH
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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