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1225551914
JOHNIE L HARRIS
SHOREWOOD, IL
NPI
1225551914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2017-07-25
Last Update Date
2017-07-25
Business Address
JOHNIE L HARRIS
503 HERATH LN
SHOREWOOD, IL 60404-6803
Phone number: 219-888-0743
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Mailing Address
JOHNIE L HARRIS
503 HERATH LN
SHOREWOOD, IL 60404-6803
Phone number:
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