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1629599485
EDWIN PAYNE
JACKSON, MI
NPI
1629599485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401011227)
Enumeration Date
2017-07-02
Last Update Date
2017-07-02
Business Address
EDWIN PAYNE LPC
2019 4TH ST
JACKSON, MI 49203-3555
Phone number: 734-719-0193
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Mailing Address
EDWIN PAYNE LPC
2019 4TH ST
JACKSON, MI 49203-3555
Phone number:
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