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Individual

DR. ALEXANDER DONALD HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02692
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1659487387
MO
Enumeration date
08/23/2006
Last updated
09/09/2015
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