SANDRA L BLACKWELL

GRAND RAPIDS, MI
NPI1437205127
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: MI  197637)
Enumeration Date2007-01-26
Last Update Date2007-07-08
Business Address
SANDRA L BLACKWELL R.D.
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-2867
Mailing Address
SANDRA L BLACKWELL R.D.
100 MICHIGAN ST NE MC 109 ATTN JULIE L
GRAND RAPIDS, MI 49503-2560
Phone number:
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