Individual
NATHAN EUGENE HARRIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 W 36TH ST N STE A, TULSA, OK 74106-1700
(918) 734-3393
Mailing address
1541 N DETROIT AVE, TULSA, OK 74106-4208
(918) 402-0049
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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