Individual
JERRY GLEN HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
32 HORSESHOE BND, HORACE, ND 58047-5717
(701) 282-8152
Mailing address
32 HORSESHOE BND, HORACE, ND 58047-5717
(701) 282-8152
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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