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1568725810
KEVIN BLAS
COLUMBIA, SC
NPI
1568725810
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: MI 430110966)
Enumeration Date
2012-06-21
Last Update Date
2018-11-01
Business Address
KEVIN BLAS M.D.
166 STONERIDGE DR
COLUMBIA, SC 29210-8239
Phone number: 803-461-3000
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Mailing Address
KEVIN BLAS M.D.
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-551-0570
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