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1659947539
DANIEL A CARMONA
JACKSON, MI
NPI
1659947539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: MI SP0000001053617)
Enumeration Date
2021-06-01
Last Update Date
2021-06-01
Business Address
DANIEL A CARMONA MA
2215 AURORA DR
JACKSON, MI 49203-3801
Phone number: 269-422-7102
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Mailing Address
DANIEL A CARMONA MA
2215 AURORA DR
JACKSON, MI 49203-3801
Phone number: 269-422-7102
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