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1194731257
DAVID DWAYNE HARRIS
DETROIT, MI
NPI
1194731257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501002996)
Enumeration Date
2006-07-31
Last Update Date
2014-06-16
Business Address
Mr. DAVID DWAYNE HARRIS PT
10636 W 7 MILE RD
DETROIT, MI 48221-1969
Phone number: 313-862-1340
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Mailing Address
Mr. DAVID DWAYNE HARRIS PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2222
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