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1093859977
LOUANNE MARIE JEFFERSON
EAST LANSING, MI
NPI
1093859977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-02-16
Last Update Date
2007-07-08
Business Address
Miss LOUANNE MARIE JEFFERSON ATC
MICHIGAN STATE UNIVERSITY DEPT OF ATHLETICS #131 DUFFY DAUGHERTY FB BLDG
EAST LANSING, MI 48824-1214
Phone number: 517-353-4369
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Mailing Address
Miss LOUANNE MARIE JEFFERSON ATC
4000 NORFOLK CT
LANSING, MI 48910-0619
Phone number: 517-353-4369
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