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1760016661
TAVARES LARON HARRIS
AUSTIN, TX
NPI
1760016661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA RN247042)
Enumeration Date
2020-02-28
Last Update Date
2020-02-28
Business Address
TAVARES LARON HARRIS PMHNP-BC
7901 METROPOLIS DR
AUSTIN, TX 78744-3111
Phone number: 254-778-4811
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Mailing Address
TAVARES LARON HARRIS PMHNP-BC
1707 THE OAKS
CLARKSTON, GA 30021-1276
Phone number:
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