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1427784222
KENNETH RAY HARRIS
GREENSBORO, NC
NPI
1427784222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 100931)
Enumeration Date
2022-07-26
Last Update Date
2022-07-27
Business Address
KENNETH RAY HARRIS
1121 N CHURCH ST
GREENSBORO, NC 27401-1007
Phone number: 336-832-8153
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Mailing Address
KENNETH RAY HARRIS
1126 N CHURCH ST STE 103
GREENSBORO, NC 27401-1035
Phone number: 336-663-4900
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