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Individual

MRS. JOANN HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MAY 14, 1954

Contact information

Practice address
896 BRIDGETT STREET, FAYETTEVILLE, NC 28314-6318
(910) 551-8401
Mailing address
896 BRIDGETT STREET, FAYETTEVILLE, NC 28314-6318
(910) 551-8401

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
54246
NC

Other

Enumeration date
03/23/2023
Last updated
03/23/2023
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