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Individual

LUZERO M HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2741 W BIRD RD, TUCSON, AZ 85746-3805
(520) 908-0931
(520) 296-8244
Mailing address
2741 W BIRD RD, TUCSON, AZ 85746-3805
(520) 908-0931
(520) 296-8244

Taxonomy

Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
12185
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12185
OLCR LICENSE
AZ
Enumeration date
03/06/2013
Last updated
03/06/2013
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