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1811093917
LARRY BRYON HANVILLE
CAMPBELL, CA
NPI
1811093917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA mfc37529)
Enumeration Date
2006-09-15
Last Update Date
2007-07-08
Business Address
Mr. LARRY BRYON HANVILLE MFT
251 LLEWELLYN AVE
CAMPBELL, CA 95008-1940
Phone number: 408-874-7103
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Mailing Address
Mr. LARRY BRYON HANVILLE MFT
2162 PHOTINIA DR
TRACY, CA 95376-9221
Phone number: 209-839-8826
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