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1558452805
KATHLEEN TEAMAN BLAZOFF
DETROIT, MI
NPI
1558452805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MI 4704162765)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
Mrs. KATHLEEN TEAMAN BLAZOFF APRN, BC
7733 E JEFFERSON AVE
DETROIT, MI 48214-3707
Phone number: 313-499-4923
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Mailing Address
Mrs. KATHLEEN TEAMAN BLAZOFF APRN, BC
218 MCKINLEY AVE
GROSSE POINTE FARMS, MI 48236-3507
Phone number: 313-499-4923
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