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Individual

MR. DAVID P BLANKENSHIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CAC 2

Contact information

Practice address
1020 S WESTNEDGE AVE, KALAMAZOO, MI 49008-1166
(269) 344-4458
Mailing address
1020 S WESTNEDGE AVE, KALAMAZOO, MI 49008-1166
(269) 344-4458

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MI

Other

Enumeration date
05/08/2007
Last updated
07/08/2007
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