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1750005625
JEFFERY WILLARD HARRIS
DECATUR, AL
NPI
1750005625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-102763)
Enumeration Date
2022-10-03
Last Update Date
2022-10-03
Business Address
JEFFERY WILLARD HARRIS CRNP
68 MARCO DR
DECATUR, AL 35603-5425
Phone number: 256-973-5650
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Mailing Address
JEFFERY WILLARD HARRIS CRNP
1201 7TH ST SE
DECATUR, AL 35601-3337
Phone number: 256-973-2000
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