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Individual

MARIO MARKELL HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
17136 LARKSPUR LN, URBANDALE, IA 50323-2790
(515) 577-1832
Mailing address
17136 LARKSPUR LN, URBANDALE, IA 50323-2790
(515) 577-1832

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
7548080
IA

Other

Enumeration date
02/23/2024
Last updated
02/23/2024
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Product
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