HAROLD WAYNE DUCKETT

MOLINE, IL
NPI1700414950
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224P00000X Prosthetist
(Licence: IL  006054891)
Enumeration Date2020-03-31
Last Update Date2020-03-31
Business Address
HAROLD WAYNE DUCKETT
1801 15TH STREET PL
MOLINE, IL 61265-3964
Phone number: 309-764-4477
Mailing Address
HAROLD WAYNE DUCKETT
1801 15TH STREET PL
MOLINE, IL 61265-3964
Phone number: 309-764-4477