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1396378105
MARK KEVIN LEVASSEUR
MT PLEASANT, MI
NPI
1396378105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM2800X Clinic/Center, Methadone Clinic
Enumeration Date
2020-02-20
Last Update Date
2020-02-20
Business Address
MARK KEVIN LEVASSEUR MS
4273 CORPORATE DR
MT PLEASANT, MI 48858-5321
Phone number: 989-953-4357
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Mailing Address
MARK KEVIN LEVASSEUR MS
4273 CORPORATE DR
MT PLEASANT, MI 48858-5321
Phone number: 989-953-4357
Copy
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