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Individual

EILEEN HARMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
1120 S DORA ST, UKIAH, CA 95482-6340
(707) 472-2600
(707) 472-2735
Mailing address
1120 S DORA ST, UKIAH, CA 95482-6340
(707) 472-2600
(707) 472-2735

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
398102
CA
163WC1500X
Community Health Registered Nurse
398102
CA

Other

Enumeration date
10/25/2007
Last updated
10/25/2007
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