Shannon Blaine
Shannon Blaine is an Other Technician in Pontiac, Michigan. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
103 Parkhurst StPontiac, MI 48342
Phone: (248) 425-5053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1134672868 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 29, 2016 |
| Last updated in NPPES | July 29, 2016 |
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