Individual
LESLIE R HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
285 W 800 S, ROOSEVELT, UT 84066-3707
(435) 725-6300
(435) 725-6325
Mailing address
379 N 1150 W, VERNAL, UT 84078-3307
(435) 725-6300
(435) 725-6325
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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