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1144470451
EDWARD LEON JENKINS
DETROIT, MI
NPI
1144470451
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Former Name
EDWARD LEON JENKINS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-09-23
Last Update Date
2008-09-23
Business Address
Mr. EDWARD LEON JENKINS
15805 BAYLIS ST 204
DETROIT, MI 48238-3915
Phone number: 313-728-1316
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Mailing Address
Mr. EDWARD LEON JENKINS
15805 BAYLIS 204
DETROIT, MI 48238-1579
Phone number: 313-728-1316
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