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Individual

TAVARES LARON HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
7901 METROPOLIS DR, AUSTIN, TX 78744-3111
(254) 778-4811
Mailing address
1707 THE OAKS, CLARKSTON, GA 30021-1276

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN247042
GA

Other

Enumeration date
02/28/2020
Last updated
02/28/2020
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