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Individual

DARREL ALAN HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
1206 PEQUENO LN, FENTON, MO 63026-3673
(636) 861-7633
(636) 861-7633
Mailing address
1206 PEQUENO LN, FENTON, MO 63026-3673
(636) 861-7633
(636) 861-7633

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
124205
MO

Other

Enumeration date
11/08/2007
Last updated
11/08/2007
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