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1508495383
PRASHANTH JYOTHI PRABAKARAN
DETROIT, MI
NPI
1508495383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-03
Last Update Date
2020-04-03
Business Address
-- PRASHANTH JYOTHI PRABAKARAN MD
4201 ST. ANTOINE 5E-UHC
DETROIT, MI 48201
Phone number: 608-628-3514
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Mailing Address
-- PRASHANTH JYOTHI PRABAKARAN MD
2585 UNIVERSITY AVE APT 215
MADISON, WI 53705-3815
Phone number: 608-628-3514
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