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1063863553
KISHORE PUPPALA
WOODHAVEN, MI
NPI
1063863553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302037502)
Enumeration Date
2016-06-26
Last Update Date
2016-06-26
Business Address
Mr. KISHORE PUPPALA
23800 ALLEN RD
WOODHAVEN, MI 48183-3374
Phone number: 734-675-4815
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Mailing Address
Mr. KISHORE PUPPALA
23800 ALLEN RD
WOODHAVEN, MI 48183-3374
Phone number: 734-675-4815
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