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1003050113
SURESH KUMAR KOMIRISETTY
LANSING, MI
NPI
1003050113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302034766)
Enumeration Date
2009-04-21
Last Update Date
2009-04-21
Business Address
Mr. SURESH KUMAR KOMIRISETTY
1705 W MOUNT HOPE AVE
LANSING, MI 48910-2660
Phone number: 517-372-6700
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Mailing Address
Mr. SURESH KUMAR KOMIRISETTY
1795 NEMOKE CT APARTMENT # 9
HASLETT, MI 48840-8679
Phone number: 270-535-8708
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