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1073989497
BLAINE JOHNS
JACKSON, MI
NPI
1073989497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: MI 2902014285)
Enumeration Date
2015-08-19
Last Update Date
2015-08-19
Business Address
BLAINE JOHNS
7040 MCKAY RD
JACKSON, MI 49201-9261
Phone number: 517-740-2596
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Mailing Address
BLAINE JOHNS
7040 MCKAY RD
JACKSON, MI 49201-9261
Phone number: 517-740-2596
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