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Individual

MRS. MICHELE L HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
22317 DUPONT BLVD, GEORGETOWN, DE 19947-2153
(302) 856-7364
Mailing address
29961 ADKINS LN, DAGSBORO, DE 19939-3984
(302) 732-6089

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J2-0000582
DE

Other

Enumeration date
04/04/2007
Last updated
07/08/2007
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