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1144871187
JERRY HARRIS
IRVINE, CA
NPI
1144871187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-09-20
Last Update Date
2019-09-20
Business Address
JERRY HARRIS
17911 SKY PARK CIR STE E
IRVINE, CA 92614-4303
Phone number: 949-202-0257
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Mailing Address
JERRY HARRIS
2973 HARBOR BLVD # 136
COSTA MESA, CA 92626-3912
Phone number: 949-202-0257
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