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1598485575
TANISHA C BLEVINS
WAYNE, MI
NPI
1598485575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: MI 6802089266)
Enumeration Date
2022-08-31
Last Update Date
2024-11-13
Business Address
TANISHA C BLEVINS
35425 W MICHIGAN AVE
WAYNE, MI 48184-9800
Phone number: 734-467-7600
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Mailing Address
TANISHA C BLEVINS
35425 W MICHIGAN AVE
WAYNE, MI 48184-9800
Phone number:
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