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1205331592
MICHAEL BLACKSTOCK
ANN ARBOR, MI
NPI
1205331592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201008931)
Enumeration Date
2018-03-28
Last Update Date
2018-03-28
Business Address
MICHAEL BLACKSTOCK OT
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109-5000
Phone number: 734-936-7070
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Mailing Address
MICHAEL BLACKSTOCK OT
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109-5000
Phone number: 734-936-7070
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