MS. Karen Jane Bandusch Harris, PA-C

NPI #1003994104 in Normal, Illinois

Provider Information

NPI Number: 1003994104
Entity Type: Individual
Name: MS. Karen Jane Bandusch Harris, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 2, 2006
Last Updated: Jan 15, 2010

Practice Location

Address: 405 KAYS DRIVE
City: Normal
State: Illinois
ZIP Code: 61761
Phone: (309) 862-0064

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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