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1295770394
VIJAYA MAMIDIPAKA
PLYMOUTH, MI
NPI
1295770394
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Former Name
VIJAYA KALLURI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301082641)
Enumeration Date
2006-06-20
Last Update Date
2009-04-29
Business Address
-- VIJAYA MAMIDIPAKA M.D.
47500 FFVE MILE ROAD
PLYMOUTH, MI 48170
Phone number: 734-459-7400
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Mailing Address
-- VIJAYA MAMIDIPAKA M.D.
47500 FIVE MILE RD
PLYMOUTH, MI 48170-2487
Phone number: 734-459-7400
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