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Individual

HARLEY GRANT BECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
3950 NEWMAN RD, JOPLIN, MO 64801-1512
(417) 625-9337
Mailing address
3516 S RANGE LINE RD APT 6, JOPLIN, MO 64804-4444
(719) 349-9902

Taxonomy

Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary

Other

Enumeration date
05/28/2015
Last updated
05/28/2015
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