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Individual

JOYCE CAROLYN HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3131 WESTERN AVE, KINGMAN, AZ 86401-0951
(928) 718-0718
Mailing address
1714 BROADWAY AVE, KINGMAN, AZ 86401-6219
(419) 250-1015

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
AZ

Other

Enumeration date
10/22/2020
Last updated
10/22/2020
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