Individual
JAREMIAH LEE HARRIS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 E EXCELSIOR AVE, VINITA, OK 74301-4226
(918) 325-7444
Mailing address
405 E EXCELSIOR AVE, VINITA, OK 74301-4226
(918) 325-7444
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
02/06/2018
Last updated
03/06/2018
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