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Individual

ALYSSA JON HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
100 HOSPITAL DR, LEBANON, MO 65536-9210
(417) 533-6026
Mailing address
100 HOSPITAL DR, LEBANON, MO 65536-9210
(417) 533-6026

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
2015036419
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2021018952
MO

Other

Enumeration date
03/22/2021
Last updated
06/30/2021
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