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1154166486
PHOENIX BLOOM
FARMINGTON HILLS, MI
NPI
1154166486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-06-27
Last Update Date
2024-06-27
Business Address
PHOENIX BLOOM
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334-5312
Phone number: 248-256-5020
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Mailing Address
PHOENIX BLOOM
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334-5312
Phone number: 248-256-5020
Copy
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