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1013487081
MARIO LAVAY HARRIS
SAN DIEGO, CA
NPI
1013487081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-12-03
Last Update Date
2018-12-03
Business Address
MARIO LAVAY HARRIS
3255 WING ST
SAN DIEGO, CA 92110-4638
Phone number: 619-221-8600
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Mailing Address
MARIO LAVAY HARRIS
3255 WING ST
SAN DIEGO, CA 92110-4638
Phone number: 619-221-8600
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