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Individual

JEFFERY LYNN HARRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
9325 JW CLAY BLVD, STE 221, CHARLOTTE, NC 28262-5411
(704) 863-9050
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
06/22/2007
Last updated
07/15/2024
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