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1588187496
JASMINE SHANICE JEFFERSON
DETROIT, MI
NPI
1588187496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: MI J162373765744)
Enumeration Date
2017-07-23
Last Update Date
2022-07-21
Business Address
JASMINE SHANICE JEFFERSON
79 W ALEXANDRINE ST
DETROIT, MI 48201-2015
Phone number: 313-831-5535
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Mailing Address
JASMINE SHANICE JEFFERSON
79 W ALEXANDRINE ST
DETROIT, MI 48201-2015
Phone number: 313-831-5535
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