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Individual

JEFFREY J. HARRINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1166 160TH ST, SAINT ANTHONY, IA 50239-9708
(641) 477-8504
Mailing address
1166 160TH ST, SAINT ANTHONY, IA 50239-9708
(641) 477-8504

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0479741
IA
Enumeration date
05/27/2006
Last updated
07/08/2007
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