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1356696942
SEAN LELEN HARRIS
FORT LEONARD WOOD, MO
NPI
1356696942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KS 14-105728-102)
Enumeration Date
2012-07-19
Last Update Date
2012-07-19
Business Address
-- SEAN LELEN HARRIS
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-1765
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Mailing Address
-- SEAN LELEN HARRIS
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-1765
Copy
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