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1104954866
JEREME C DE LARA
ANN ARBOR, MI
NPI
1104954866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6803085297)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
Mr. JEREME C DE LARA SWT
2140 E ELLSWORTH RD
ANN ARBOR, MI 48108-2552
Phone number: 734-971-2282
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Mailing Address
Mr. JEREME C DE LARA SWT
555 TOWNER ST PO BOX 915
YPSILANTI, MI 48198-5752
Phone number: 734-544-3000
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