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1801918115
MICHAEL HARRIS
SAINT LOUIS, MO
NPI
1801918115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist Optician
(Licence: MO 18045537)
Enumeration Date
2007-04-06
Last Update Date
2008-04-30
Business Address
MICHAEL HARRIS
745 N NEW BALLAS RD
SAINT LOUIS, MO 63141-6715
Phone number: 314-567-7423
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Mailing Address
MICHAEL HARRIS
745 N NEW BALLAS RD
SAINT LOUIS, MO 63141-6715
Phone number: 314-567-7423
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