Provider Information for 1427442276
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JASMINE HARRIS
Sex: Female
NPI: 1427442276
Last Updated: 2015-03-18
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1427442276 | ||||||||
| Enumeration Date | 2015-03-18 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3810 BUENA VISTA RD APT 6 COLUMBUS, GA 31906-4358 United States Phone: 706-615-3504 | Fax: | ||||||||
| Primary Practice Address | 3810 BUENA VISTA RD APT 6 COLUMBUS, GA 31906-4358 United States Phone: 706-615-3504 | Fax: | ||||||||
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