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1114360385
KELLY MARK HARRISON
SAN LUIS OBISPO, CA
NPI
1114360385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2013-04-08
Last Update Date
2013-08-19
Business Address
KELLY MARK HARRISON
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-540-6500
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Mailing Address
KELLY MARK HARRISON
PO BOX 15408
SAN LUIS OBISPO, CA 93406-5408
Phone number: 805-540-6500
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