LARRY E JENNINGS MD PC
Marriage and Family Therapists at Michigan Ave, Jackson, MI

License number
Michigan 5301025270
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: SANDRA HULL
Title: OFFICE MANAGER
Phone: (517) 787-3280
Address
Address
3235 E Michigan Ave, Jackson, MI 49202
National Provider ID: 1770613770
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LARRY E. JENNINGS, M.D., PC

Jackson, MI

Status:
Inactive
Registration:
Mar 27, 1997
Addresses:
3235 E Michigan Ave, Jackson, MI 49202 (Physical)
Michigan (Mailing)
State ID:
461872
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2014
Agent:
Larry E Jennings Md

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