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Individual

DAVID BENNER HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.P.

Contact information

Practice address
2200 UNIVERSITY AVE W, SUITE 114, SAINT PAUL, MN 55114-1839
(651) 644-5808
Mailing address
120 ORLIN AVE SE, MINNEAPOLIS, MN 55414-3520
(612) 331-6626

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary

Other

Enumeration date
05/02/2007
Last updated
07/08/2007
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