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1467863894
BLANCHE LEWIS
DETROIT, MI
NPI
1467863894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: MI 4704174451)
Enumeration Date
2014-05-20
Last Update Date
2014-05-20
Business Address
-- BLANCHE LEWIS RN
9605 GRAND RIVER AVE
DETROIT, MI 48204-2139
Phone number: 313-834-5930
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Mailing Address
-- BLANCHE LEWIS RN
8826 MACKINAW ST
DETROIT, MI 48204-2372
Phone number: 313-728-0351
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