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1467278168
JAXSAN MCQUEEN
DETROIT, MI
NPI
1467278168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2024-11-26
Last Update Date
2024-11-26
Business Address
JAXSAN MCQUEEN cpss
707 W MILWAUKEE ST
DETROIT, MI 48202-2943
Phone number: 313-989-9444
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Mailing Address
JAXSAN MCQUEEN cpss
707 W MILWAUKEE ST
DETROIT, MI 48202-2943
Phone number: 313-989-9444
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