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1730526195
MARIAH BLOUNT
LOUISVILLE, KY
NPI
1730526195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502000686)
Enumeration Date
2013-05-25
Last Update Date
2013-05-25
Business Address
-- MARIAH BLOUNT PTA
303 N HURSTBOURNE PKWY
LOUISVILLE, KY 40222-5185
Phone number: 502-412-5847
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Mailing Address
-- MARIAH BLOUNT PTA
23536 SUTTONS BAY DR
CLINTON TOWNSHIP, MI 48036-1270
Phone number: 586-703-6209
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