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1124180930
LARRY JOE MILLER
FAIRFIELD, CA
NPI
1124180930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2006-12-15
Last Update Date
2007-07-08
Business Address
Mr. LARRY JOE MILLER
2206 SANTA CRUZ DR
FAIRFIELD, CA 94533
Phone number: 707-438-1025
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Mailing Address
Mr. LARRY JOE MILLER
2206 SANTA CRUZ DR
FAIRFIELD, CA 94533
Phone number: 707-438-1025
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