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1205332228
SUJITH KUMAR SAMUDRALA
DETROIT, MI
NPI
1205332228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-03-30
Last Update Date
2018-03-30
Business Address
SUJITH KUMAR SAMUDRALA
6071 W OUTER DR
DETROIT, MI 48235-2624
Phone number: 313-966-1003
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Mailing Address
SUJITH KUMAR SAMUDRALA
1352 W SUNSET RD APT 219
PORT WASHINGTON, WI 53074-2450
Phone number: 515-306-7127
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