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1962768424
JERALD D HARMON
TUCSON, AZ
NPI
1962768424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: AZ 1461)
Enumeration Date
2012-04-09
Last Update Date
2012-04-09
Business Address
JERALD D HARMON LISAC
16514 N ORACLE RD
TUCSON, AZ 85739-9108
Phone number: 520-825-2100
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Mailing Address
JERALD D HARMON LISAC
PO BOX 8666
TUCSON, AZ 85738-0666
Phone number: 520-825-2100
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