WILLIE JEFFERSON

PORT HURON, MI
NPI1932212453
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Enumeration Date2006-08-17
Last Update Date2007-07-08
Business Address
Mr. WILLIE JEFFERSON
230 HURON AVE
PORT HURON, MI 48060-3822
Phone number: 810-966-4473
Mailing Address
Mr. WILLIE JEFFERSON
230 HURON AVE
PORT HURON, MI 48060-3822
Phone number: 810-966-4473
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