Kimberly Marie Blunt

NPI #1124362447 in Lapeer, Michigan

Provider Information

NPI Number: 1124362447
Entity Type: Individual
Name: Kimberly Marie Blunt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Nov 27, 2012
Last Updated: Nov 27, 2012

Practice Location

Address: 1570 SUNCREST DR
City: Lapeer
State: Michigan
ZIP Code: 48446-1154
Phone: (810) 667-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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