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1992240287
MARSHALL KILGORE
LANSING, MI
NPI
1992240287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-12-22
Last Update Date
2016-12-22
Business Address
-- MARSHALL KILGORE BA
3410 OLD LANSING RD
LANSING, MI 48917-4392
Phone number: 517-657-2980
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Mailing Address
-- MARSHALL KILGORE BA
3410 OLD LANSING RD
LANSING, MI 48917-4392
Phone number: 517-657-2980
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