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1104986496
MARK HARRIS
PATCHOGUE, NY
NPI
1104986496
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NY 019351)
Enumeration Date
2006-12-09
Last Update Date
2007-07-08
Business Address
Mr. MARK HARRIS LMT
140 N OCEAN AVE
PATCHOGUE, NY 11772-2004
Phone number: 631-254-2225
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Mailing Address
Mr. MARK HARRIS LMT
82 CHANEL DR E
SHIRLEY, NY 11967-3812
Phone number: 631-281-2128
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