Organization
JACK M. HARLESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK HARLESS DC (CHIROPRACTOR)
(937) 681-0512
Entity
Organization
Contact information
Practice address
7974 BIGGER RD, CENTERVILLE, OH 45459-5405
(937) 681-0512
Mailing address
8200 PROVINCIAL WAY, CENTERVILLE, OH 45458-2693
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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