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1285711713
DONAVAN KEITH HARRIS
ASHLAND, KY
NPI
1285711713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH PTA06352)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
DONAVAN KEITH HARRIS PTA
2400 13TH STREET
ASHLAND, KY 41102
Phone number: 606-329-0910
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Mailing Address
DONAVAN KEITH HARRIS PTA
PO BOX 1240
ASHLAND, KY 41105
Phone number: 606-325-7955
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