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1093203143
MANIKANDAN ELLANGOVIN
GRAND BLANC, MI
NPI
1093203143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501014992)
Enumeration Date
2018-04-24
Last Update Date
2018-04-24
Business Address
MANIKANDAN ELLANGOVIN mpt
6052 AMBER LN
GRAND BLANC, MI 48439-7820
Phone number: 810-410-6663
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Mailing Address
MANIKANDAN ELLANGOVIN mpt
6052 AMBER LN
GRAND BLANC, MI 48439-7820
Phone number: 810-410-6663
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