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1386147171
GOMATHI ETHIRAJU
DETROIT, MI
NPI
1386147171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501013324)
Enumeration Date
2018-03-17
Last Update Date
2018-03-17
Business Address
Dr. GOMATHI ETHIRAJU DPT
15311 SCHAEFER HWY
DETROIT, MI 48227-3337
Phone number: 313-835-4775
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Mailing Address
Dr. GOMATHI ETHIRAJU DPT
8140 NECTAR DR APT 634
CANTON, MI 48187-4146
Phone number: 734-892-8971
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