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1487031035
LISA BLAIR
DETROIT, MI
NPI
1487031035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703101562)
Enumeration Date
2015-05-04
Last Update Date
2015-05-04
Business Address
-- LISA BLAIR
641 PRENTIS ST APT 112
DETROIT, MI 48201-3721
Phone number: 734-790-0711
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Mailing Address
-- LISA BLAIR
641 PRENTIS ST APT 112
DETROIT, MI 48201-3721
Phone number: 734-790-0711
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