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Individual

MR. GREGORY MARK HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6248 GHADBAN CT, WARRENTON, VA 20187-7945
(703) 887-0072
(540) 428-3724
Mailing address
PO BOX 480, MARSHALL, VA 20116-0480
(703) 887-0072
(540) 428-3724

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
2705 012901
VA

Other

Enumeration date
09/23/2008
Last updated
09/23/2008
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