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1740961911
JAVONTAE LANGSTON
MESA, AZ
NPI
1740961911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2023-07-28
Last Update Date
2023-07-28
Business Address
JAVONTAE LANGSTON
307 N SANDAL
MESA, AZ 85205-5885
Phone number: 623-252-9215
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Mailing Address
JAVONTAE LANGSTON
307 N SANDAL
MESA, AZ 85205-5885
Phone number: 623-252-9215
Copy
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