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1821360728
DEREK R. HARRIS
SHREVEPORT, LA
NPI
1821360728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: LA AP07181)
Enumeration Date
2012-02-08
Last Update Date
2019-06-17
Business Address
DEREK R. HARRIS MSN, APRN, CPNP-PC
1919 FAIRFIELD AVE
SHREVEPORT, LA 71101-4436
Phone number: 318-828-2210
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Mailing Address
DEREK R. HARRIS MSN, APRN, CPNP-PC
1919 FAIRFIELD AVE
SHREVEPORT, LA 71101-4436
Phone number: 318-828-2210
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