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Individual

JAN A HARBOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
3551 TEAYS VALLEY RD, HURRICANE, WV 25526-9054
(304) 757-7668
(304) 757-9045
Mailing address
3551 TEAYS VALLEY RD, HURRICANE, WV 25526-9054
(304) 757-7668
(304) 757-9045

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
271
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0131538000
WV
01
1022668
WORKERS' COMPENSATION
WV
Enumeration date
06/13/2005
Last updated
07/08/2007
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