BLAINE HARBOURNE

ELMHURST, IL
NPI1306326715
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164007341)
Enumeration Date2018-08-15
Last Update Date2018-08-15
Business Address
Dr. BLAINE HARBOURNE ND
486 S SPRING RD
ELMHURST, IL 60126-3858
Phone number: 586-246-1480
Mailing Address
Dr. BLAINE HARBOURNE ND
1230 SAINT JAMES PL APT 1A
GLEN ELLYN, IL 60137-7804
Phone number: 586-246-1480
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