SHANE DENNIS BLISS

PRUDENVILLE, MI
NPI1174094791
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2018-12-07
Last Update Date2018-12-07
Business Address
Mr. SHANE DENNIS BLISS
1070 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651-9673
Phone number: 989-422-0279
Mailing Address
Mr. SHANE DENNIS BLISS
800 W MIER RD LOT 24
SANFORD, MI 48657-9411
Phone number:
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