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Individual

COLLIN RANDALL BLUNDELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243-1599
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
MI

Other

Enumeration date
09/08/2025
Last updated
09/08/2025
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