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1194740019
WARREN GRANT HARBISON
BOISE, ID
NPI
1194740019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: ID M-14100)
Enumeration Date
2006-07-13
Last Update Date
2023-03-07
Business Address
WARREN GRANT HARBISON MD
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 082-422-1108
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Mailing Address
WARREN GRANT HARBISON MD
411 32ND AVENUE DR NW
HICKORY, NC 28601-1043
Phone number: 828-326-3809
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