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1699164525
BLAIR POWERS
DETROIT, MI
NPI
1699164525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
Additional Taxonomies
103T00000X Psychologist
(Licence: MI 6301017062)
Enumeration Date
2015-01-15
Last Update Date
2018-02-21
Business Address
BLAIR POWERS
79 W ALEXANDRINE ST
DETROIT, MI 48201-2015
Phone number: 248-921-2564
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Mailing Address
BLAIR POWERS
79 W ALEXANDRINE ST
DETROIT, MI 48201-2015
Phone number: 248-921-2564
Copy
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