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1073104238
MICHAEL HARRIS
PANORA, IA
NPI
1073104238
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IA 100899)
Enumeration Date
2021-01-31
Last Update Date
2021-01-31
Business Address
MICHAEL HARRIS PTA
6314 WILSON DR
PANORA, IA 50216
Phone number: 641-431-1038
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Mailing Address
MICHAEL HARRIS PTA
6314 WILSON DR
PANORA, IA 50216
Phone number: 641-431-1038
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