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1649650904
JUAN R HARRIS
LOUISVILLE, KY
NPI
1649650904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY A2832)
Enumeration Date
2015-06-02
Last Update Date
2015-06-02
Business Address
Mr. JUAN R HARRIS C.O.T.A./L
1800 BLUEGRASS AVE
LOUISVILLE, KY 40215-1130
Phone number: 502-502-3612
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Mailing Address
Mr. JUAN R HARRIS C.O.T.A./L
5813 PIKEWOOD RD
LOUISVILLE, KY 40219-5524
Phone number:
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