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1275022840
GOWTAMI DATLA
SAGINAW, MI
NPI
1275022840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501017837)
Enumeration Date
2018-05-09
Last Update Date
2018-05-09
Business Address
Miss GOWTAMI DATLA PT
515 N MICHIGAN AVE
SAGINAW, MI 48602-4316
Phone number: 313-819-1015
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Mailing Address
Miss GOWTAMI DATLA PT
5100 PHEASANT RUN DR APT 2
SAGINAW, MI 48638-6361
Phone number: 313-819-1015
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