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Individual

MR. JACK BEVERLY HARRIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
156 GREENGABLE WAY, CHESAPEAKE, VA 23322
(757) 560-0231
(757) 482-9033
Mailing address
156 GREENGABLE WAY, CHESAPEAKE, VA 23322-4278
(757) 560-0231
(757) 482-9033

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
2705161949
VA

Other

Enumeration date
07/14/2017
Last updated
07/21/2022
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