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Individual

ELIJAH HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
18 CARLETON ST, HAVERHILL, MA 01832-2902
(978) 914-5387
Mailing address
18 CARLETON ST, HAVERHILL, MA 01832-2902
(978) 914-5387

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000000000000000
MA
Enumeration date
10/07/2019
Last updated
10/07/2019
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