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1427441245
BRETON BLAIR
LANSING, MI
NPI
1427441245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704311303)
Enumeration Date
2015-03-18
Last Update Date
2015-05-07
Business Address
BRETON BLAIR NP
102 MCPHERSON AVE
LANSING, MI 48915-1760
Phone number: 517-244-8041
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Mailing Address
BRETON BLAIR NP
5303 S CEDAR ST
LANSING, MI 48911-3800
Phone number: 517-244-8041
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