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1053755421
JOHNATHON VALENTIN
JACKSON, MI
NPI
1053755421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-04-29
Last Update Date
2013-04-29
Business Address
-- JOHNATHON VALENTIN
3300 LANSING
JACKSON, MI 49201
Phone number: 517-784-2929
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Mailing Address
-- JOHNATHON VALENTIN
3300 LANSING AVE
JACKSON, MI 49202-1621
Phone number: 517-784-2929
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