Individual
MRS. CATHY JUNELLE BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2012 READY AVE, BURTON, MI 48529-2056
(810) 744-0490
Mailing address
2012 READY AVE, BURTON, MI 48529-2056
(810) 744-0490
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
AF250272988
MI
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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