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Individual

GREGORY HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3739 WOODFORD RD # 2NDFL, CINCINNATI, OH 45213-2209
(504) 292-7090
Mailing address
3739 WOODFORD RD # 2NDFL, CINCINNATI, OH 45213-2209
(504) 292-7090

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
374U00000X
AETNA BETTER HEALTH/OHIO
OH
Enumeration date
07/23/2014
Last updated
07/23/2014
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