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Individual

ELAINE HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
300 N OTTAWA ST, JOLIET, IL 60432-4009
(815) 722-3200
(815) 725-7500
Mailing address
713 BLACKHAWK ST, JOLIET, IL 60432-2105

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
IL

Other

Enumeration date
02/22/2007
Last updated
07/08/2007
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