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1184088353
BALAKRISHNAN SUBRAMANYAM
GRAND RAPIDS, MI
NPI
1184088353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501007043)
Enumeration Date
2016-04-13
Last Update Date
2016-04-13
Business Address
-- BALAKRISHNAN SUBRAMANYAM
210 CALAIS CT SE
GRAND RAPIDS, MI 49546-1504
Phone number: 616-264-8748
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Mailing Address
-- BALAKRISHNAN SUBRAMANYAM
210 CALAIS CT SE
GRAND RAPIDS, MI 49546-1504
Phone number: 616-264-8748
Copy
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