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Individual

JEFFREY HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1204 SILVER MAPLE DR, BELTON, MO 64012-7812
(816) 838-8999
Mailing address
1204 SILVER MAPLE DR, BELTON, MO 64012-7812
(816) 838-8999

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MO

Other

Enumeration date
03/23/2016
Last updated
03/23/2016
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