BALAMATHEW R PUDOTA

FLINT, MI
NPI1255684643
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MI  5302039319)
Enumeration Date2012-10-23
Last Update Date2012-10-23
Business Address
-- BALAMATHEW R PUDOTA
502 S BALLENGER HWY
FLINT, MI 48532-3640
Phone number: 810-424-9270
Mailing Address
-- BALAMATHEW R PUDOTA
2160 E HILL RD APT #41
GRAND BLANC, MI 48439-5183
Phone number: 810-919-8567
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