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Provider Demographic Information - MJ FOUNDATION

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	MJ FOUNDATION
Address:	364 FIVE POINT RICHARD ROA HARRISBURG, PA 17113
Phone:	(888) 888-8888
Web Site:	N/A

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header

Click here to view Provider Certification Information

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PROVIDER'S PARENT/ REGIONAL OFFICE Supporting line for group header


Type:	Corporate Office
Name:	MJ PARENT
Address:	112 REES ST CHICAGO, PA 11111
Phone:	(111) 111-1111

Type:	Regional/Field Office	Counties Served:	Mercer
Name:	MJ MERCER REG
Address:	111 MARS MERCER, PA 11111
Phone:	(111) 888-8888

Type:	Regional/Field Office			Counties Served:	Erie
Name:	MJ NORTH
Address:	548 WEST CHESTNUT ST ERIE, PA 90808
Phone:	(111) 888-8888

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PROVIDER SERVICES AND RATES Supporting line for group header

No services are currently available for this provider.

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