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1124718663
NICOLAS HARRIS
CHARLESTON, WV
NPI
1124718663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-09
Last Update Date
2024-01-05
Business Address
NICOLAS HARRIS MD
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304-1297
Phone number: 304-388-4172
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Mailing Address
NICOLAS HARRIS MD
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304-1227
Phone number: 860-333-4172
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