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1154434975
SAILAJA DATLA
SAINT CLAIR SHORES, MI
NPI
1154434975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301070545)
Enumeration Date
2006-08-16
Last Update Date
2022-07-21
Business Address
-- SAILAJA DATLA MD
24800 HARPER AVE STE 1
SAINT CLAIR SHORES, MI 48080-1292
Phone number: 586-445-3706
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Mailing Address
-- SAILAJA DATLA MD
24800 HARPER AVE STE 1
SAINT CLAIR SHORES, MI 48080-1292
Phone number: 586-445-3706
Copy
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