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1003114760
DWAYNE K HARRIS
DENVER, CO
NPI
1003114760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO 6900)
Enumeration Date
2011-03-04
Last Update Date
2011-03-04
Business Address
-- DWAYNE K HARRIS CAC III
1155 CHEROKEE ST
DENVER, CO 80204-3632
Phone number: 303-436-6000
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Mailing Address
-- DWAYNE K HARRIS CAC III
777 BANNOCK ST MC 7782
DENVER, CO 80204-4507
Phone number: 303-436-6000
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