EDGAR DEJUAN HARRIS

SAINT LOUIS, MO
NPI1821417916
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: MO  0000000000000)
Enumeration Date2014-04-16
Last Update Date2014-04-16
Business Address
-- EDGAR DEJUAN HARRIS
1721 HONEYBROOK LN
SAINT LOUIS, MO 63138-1468
Phone number: 314-484-0405
Mailing Address
-- EDGAR DEJUAN HARRIS
1721 HONEYBROOK LN
SAINT LOUIS, MO 63138-1468
Phone number: 314-484-0405
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