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1386003606
BRIGHTY SARA KODUVATH
OKEMOS, MI
NPI
1386003606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: MI 7101004945)
Enumeration Date
2016-02-15
Last Update Date
2016-10-07
Business Address
BRIGHTY SARA KODUVATH
5211 MARSH RD
OKEMOS, MI 48864-1106
Phone number: 517-319-1400
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Mailing Address
BRIGHTY SARA KODUVATH
5211 MARSH RD.
HASLETT, MI 48840-8854
Phone number: 517-515-3763
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