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1760523161
HOMER MCCOY HARRISON JR.
STOCKTON, CA
NPI
1760523161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: CA PA10433)
Enumeration Date
2007-02-09
Last Update Date
2007-07-08
Business Address
HOMER MCCOY HARRISON JR. PA
3663 ARCH RD
STOCKTON, CA 95215-8315
Phone number: 209-943-2202
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Mailing Address
HOMER MCCOY HARRISON JR. PA
2421 GRIMSBY DR
ANTIOCH, CA 94509-5866
Phone number: 925-778-2358
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