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1336183698
DATLA RAJU
FLINT, MI
NPI
1336183698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MI 4301041432)
Enumeration Date
2006-06-16
Last Update Date
2013-03-18
Business Address
-- DATLA RAJU MD
2811 E COURT ST
FLINT, MI 48506-4054
Phone number: 810-232-6081
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Mailing Address
-- DATLA RAJU MD
6442 CHARLES DR
WEST BLOOMFIELD, MI 48322-4402
Phone number: 248-737-5183
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