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1972863264
MATTHEW HARRIS
SAN ANTONIO, TX
NPI
1972863264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
(Licence: TX 1478)
Additional Taxonomies
222Z00000X Orthotist
(Licence: TX 1478)
Enumeration Date
2012-05-21
Last Update Date
2012-05-21
Business Address
-- MATTHEW HARRIS CPO
4319 MEDICAL DR STE 106
SAN ANTONIO, TX 78229-3325
Phone number: 210-494-1933
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Mailing Address
-- MATTHEW HARRIS CPO
4319 MEDICAL DR STE 106
SAN ANTONIO, TX 78229-3325
Phone number: 210-494-1933
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