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1083731939
BHASKAR REDDY POREDDY
GRAND HAVEN, MI
NPI
1083731939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501012194)
Enumeration Date
2007-03-24
Last Update Date
2007-07-08
Business Address
Mr. BHASKAR REDDY POREDDY PT
1615 S DESPELDER ST
GRAND HAVEN, MI 49417-2633
Phone number: 616-842-0770
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Mailing Address
Mr. BHASKAR REDDY POREDDY PT
15051 DECKER CT APT# 203
GRAND HAVEN, MI 49417-7952
Phone number: 616-510-0034
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