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1205681467
AIDEN XIAOLOU CHAVEZ
JACKSON, MI
NPI
1205681467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: MI 101260015)
Enumeration Date
2024-04-22
Last Update Date
2024-04-22
Business Address
AIDEN XIAOLOU CHAVEZ
1200 N WEST AVE
JACKSON, MI 49202-2179
Phone number: 800-284-8288
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Mailing Address
AIDEN XIAOLOU CHAVEZ
21203 W M 60
HOMER, MI 49245-8604
Phone number: 503-509-8628
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