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1104519545
JEFFERY DESHAUNE WALKER
PORT HURON, MI
NPI
1104519545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: MI 426390139584)
Enumeration Date
2023-05-31
Last Update Date
2023-05-31
Business Address
JEFFERY DESHAUNE WALKER
3111 ELECTRIC AVE
PORT HURON, MI 48060-8127
Phone number: 810-985-8900
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Mailing Address
JEFFERY DESHAUNE WALKER
1718 WALL ST
PORT HURON, MI 48060-5060
Phone number: 810-689-3810
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