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1265192785
GITHU POKKAMTHANAM GEORGE
DETROIT, MI
NPI
1265192785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502002824)
Enumeration Date
2021-12-23
Last Update Date
2021-12-23
Business Address
Mr. GITHU POKKAMTHANAM GEORGE
9500 GRAND RIVER AVE
DETROIT, MI 48204-2132
Phone number: 678-522-1084
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Mailing Address
Mr. GITHU POKKAMTHANAM GEORGE
41039 SCARBOROUGH LN
NOVI, MI 48375-2889
Phone number: 678-522-1084
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