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1518016955
PARANTHAMAN SUNDARAVARADAN
WAYNE, MI
NPI
1518016955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501005636)
Enumeration Date
2007-01-08
Last Update Date
2017-10-11
Business Address
PARANTHAMAN SUNDARAVARADAN PT
33000 ANNAPOLIS ST STE 120
WAYNE, MI 48184-2916
Phone number: 734-721-8785
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Mailing Address
PARANTHAMAN SUNDARAVARADAN PT
33000 ANNAPOLIS ST STE 120
WAYNE, MI 48184-2916
Phone number: 734-721-8785
Copy
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