Individual
REBECCA JANE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1520 S LIBERTY DR, BLOOMINGTON, IN 47403-5167
(812) 676-4300
(812) 676-4301
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001035A
IN
Other
Enumeration date
05/05/2006
Last updated
12/15/2020
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