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1255684643
BALAMATHEW R PUDOTA
FLINT, MI
NPI
1255684643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302039319)
Enumeration Date
2012-10-23
Last Update Date
2012-10-23
Business Address
-- BALAMATHEW R PUDOTA
502 S BALLENGER HWY
FLINT, MI 48532-3640
Phone number: 810-424-9270
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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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