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1821417916
EDGAR DEJUAN HARRIS
SAINT LOUIS, MO
NPI
1821417916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: MO 0000000000000)
Enumeration Date
2014-04-16
Last Update Date
2014-04-16
Business Address
-- EDGAR DEJUAN HARRIS
1721 HONEYBROOK LN
SAINT LOUIS, MO 63138-1468
Phone number: 314-484-0405
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Mailing Address
-- EDGAR DEJUAN HARRIS
1721 HONEYBROOK LN
SAINT LOUIS, MO 63138-1468
Phone number: 314-484-0405
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