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1275847394
MICHAEL SHANE HARRIS
ALEXANDRIA, LA
NPI
1275847394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA PA.200360)
Enumeration Date
2010-07-30
Last Update Date
2017-02-08
Business Address
-- MICHAEL SHANE HARRIS PA-C
3330 MASONIC DR
ALEXANDRIA, LA 71301-3841
Phone number: 318-449-2415
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Mailing Address
-- MICHAEL SHANE HARRIS PA-C
919 HIDDEN RDG
IRVING, TX 75038-3813
Phone number: 469-282-2711
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