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1053882399
WIMAL JAYAKODY
CANTON, MI
NPI
1053882399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: MI 5501005942)
Enumeration Date
2018-12-16
Last Update Date
2018-12-16
Business Address
Mr. WIMAL JAYAKODY physical therapist
1259 AZIZ DR
CANTON, MI 48188-5092
Phone number: 734-846-7183
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Mailing Address
Mr. WIMAL JAYAKODY physical therapist
1259 AZIZ DR
CANTON, MI 48188-5092
Phone number: 734-846-7183
Copy
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