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1700129004
TYLER VAN HARRIS
SAULT SAINTE MARIE, MI
NPI
1700129004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-04-04
Last Update Date
2013-04-04
Business Address
Mr. TYLER VAN HARRIS
2655 ASHMUN ST
SAULT SAINTE MARIE, MI 49783-3711
Phone number: 906-632-9809
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Mailing Address
Mr. TYLER VAN HARRIS
2655 ASHMUN ST
SAULT SAINTE MARIE, MI 49783-3711
Phone number: 906-632-9809
Copy
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