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1104123561
PANKAJ MAMTORA
SOUTHFIELD, MI
NPI
1104123561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501014195)
Enumeration Date
2011-02-22
Last Update Date
2019-05-02
Business Address
Mr. PANKAJ MAMTORA R.P.T.
26400 W 12 MILE RD STE 25
SOUTHFIELD, MI 48034-1774
Phone number: 248-565-4000
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Mailing Address
Mr. PANKAJ MAMTORA R.P.T.
26400 W 12 MILE RD STE 25
SOUTHFIELD, MI 48034-1774
Phone number: 248-565-4000
Copy
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