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1760995781
DANA LAMONT HARRIS
STOCKTON, CA
NPI
1760995781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-11-13
Last Update Date
2017-11-13
Business Address
DANA LAMONT HARRIS
2833 BUCKNER CT
STOCKTON, CA 95207-2302
Phone number: 209-298-4751
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Mailing Address
DANA LAMONT HARRIS
1111 N EL DORADO ST
STOCKTON, CA 95202-1305
Phone number: 209-938-0228
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