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1548918311
GRANT MICHAEL HARRIS
FAYETTEVILLE, AR
NPI
1548918311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-03-11
Last Update Date
2022-03-11
Business Address
GRANT MICHAEL HARRIS
2846 N GARLAND AVE
FAYETTEVILLE, AR 72704-2164
Phone number: 479-439-6906
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Mailing Address
GRANT MICHAEL HARRIS
2846 N GARLAND AVE
FAYETTEVILLE, AR 72704-2164
Phone number:
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