REVANTH MOPURU

EAST LANSING, MI
NPI1114371275
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501013417)
Enumeration Date2016-04-14
Last Update Date2016-04-14
Business Address
-- REVANTH MOPURU
2815 NORTHWIND DR
EAST LANSING, MI 48823-5003
Phone number: 517-332-0817
Mailing Address
-- REVANTH MOPURU
6140 HARDY AVE APT 11
EAST LANSING, MI 48823-1589
Phone number: 573-639-0181
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