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1790156222
SANDRA LEE LANGSTON
JACKSON, MI
NPI
1790156222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: MI 6401005369)
Enumeration Date
2015-10-09
Last Update Date
2015-10-09
Business Address
-- SANDRA LEE LANGSTON
1206 CLINTON RD
JACKSON, MI 49202-2005
Phone number: 517-783-4250
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Mailing Address
-- SANDRA LEE LANGSTON
1206 CLINTON RD
JACKSON, MI 49202-2005
Phone number: 517-783-4250
Copy
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