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Individual

BRITTANY DENISE BLACKBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
22150 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 303-8069
Mailing address
22150 W 9 MILE RD, SOUTHFIELD, MI 48033-6007

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704348389
MI

Other

Enumeration date
12/18/2019
Last updated
12/18/2019
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