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1205727252
DHEERAJ DAVIS KALLURI
LIBERTYVILLE, IL
NPI
1205727252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.010417)
Enumeration Date
2025-07-09
Last Update Date
2025-07-11
Business Address
DHEERAJ DAVIS KALLURI
1757 NORTHWIND BLVD
LIBERTYVILLE, IL 60048-9617
Phone number: 224-206-0200
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Mailing Address
DHEERAJ DAVIS KALLURI
33900 HARPER AVE STE 104
CLINTON TWP, MI 48035-4258
Phone number:
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