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1124011689
ETHAN GEOFFREY HARRIS
VACAVILLE, CA
NPI
1124011689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA G18727)
Enumeration Date
2005-08-30
Last Update Date
2021-10-07
Business Address
ETHAN GEOFFREY HARRIS M.D.
1119 E MONTE VISTA AVE
VACAVILLE, CA 95688-3009
Phone number: 707-469-4610
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Mailing Address
ETHAN GEOFFREY HARRIS M.D.
PO BOX 999 13437 ANTELOPE TRAIL
OREGON HOUSE, CA 95962-0999
Phone number: 530-692-0802
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