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Shannon Blaine
Other Technician in Pontiac, Michigan
NPI 1134672868

Shannon Blaine is a Other Technician based in Pontiac, MI. Shannon Blaine practices in Pontiac, MI. The NPI Number for Shannon Blaine is 1134672868 and holds a License No. (Michigan).

The current practice location address for Shannon Blaine is 103 Parkhurst Street, Pontiac, MI and can be reached out via phone at 248-425-5053. You can also correspond with Shannon Blaine through the mailing address at 103 PARKHURST STREET, PONTIAC, MI - 48342 (mailing address contact number: 248-425-5053).

Location: 103 Parkhurst Street, Pontiac, MI, 48342
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134672868
Provider Name
Shannon Blaine
Credential
Provider Entity Type
Individual
Gender
Female
Address
103 Parkhurst Street, Pontiac, MI, 48342
Phone Number
248-425-5053
Fax Number
Provider Enumeration Date
07/29/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
103 Parkhurst Street
City
Pontiac
State
Michigan
Zip
48342
Phone Number
248-425-5053
Fax Number
person
Provider Business Mailing Address Details
Address
103 Parkhurst Street
City
Pontiac
State
Michigan
Zip
48342
Phone Number
248-425-5053
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
()
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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