Individual
DEBRA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
816 FULTON ST, WAUSAU, WI 54403-4969
(608) 397-8646
Mailing address
816 FULTON ST, WAUSAU, WI 54403-4969
(608) 397-8646
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
162161-030
WI
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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