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1538775713
ELANGO KALIAMOORTHY
CANTON, MI
NPI
1538775713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501007139)
Enumeration Date
2020-09-22
Last Update Date
2020-09-22
Business Address
ELANGO KALIAMOORTHY PT
2456 PREMIER LN
CANTON, MI 48188-2556
Phone number: 734-447-6513
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Mailing Address
ELANGO KALIAMOORTHY PT
2456 PREMIER LN
CANTON, MI 48188-2556
Phone number: 173-444-7651
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