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1467816165
JASON JAMES LA VIGNE
LIVONIA, MI
NPI
1467816165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301109818)
Enumeration Date
2016-04-08
Last Update Date
2020-02-13
Business Address
JASON JAMES LA VIGNE M.D.
37595 7 MILE RD SUITE 210
LIVONIA, MI 48152-1003
Phone number: 734-853-5660
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Mailing Address
JASON JAMES LA VIGNE M.D.
37595 7 MILE RD SUITE 210
LIVONIA, MI 48152-1003
Phone number: 734-853-5660
Copy
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