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1124497490
RICHARD JASTRZEBSKI
OWOSSO, MI
NPI
1124497490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-09-17
Last Update Date
2015-09-17
Business Address
-- RICHARD JASTRZEBSKI
120 W EXCHANGE ST STE 300
OWOSSO, MI 48867-2834
Phone number: 989-723-8239
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Mailing Address
-- RICHARD JASTRZEBSKI
507 S CEDAR ST
OWOSSO, MI 48867-3403
Phone number:
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