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1306679832
DONALD WAYNE HARRIS
INDEPENDENCE, MO
NPI
1306679832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 1999136795)
Enumeration Date
2024-08-21
Last Update Date
2024-08-21
Business Address
DONALD WAYNE HARRIS
201 N FOREST AVE
INDEPENDENCE, MO 64050-2696
Phone number: 815-521-5300
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Mailing Address
DONALD WAYNE HARRIS
2500 NW TIMBERLINE DR
BLUE SPRINGS, MO 64015-6417
Phone number: 816-678-6449
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