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1558953711
SAM PRASANNA RAJKUMAR JAMES
TROY, MI
NPI
1558953711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201008710)
Enumeration Date
2021-02-09
Last Update Date
2021-02-09
Business Address
Mr. SAM PRASANNA RAJKUMAR JAMES OTR
6711 WESTPOINTE DR
TROY, MI 48085-1234
Phone number: 248-877-4624
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Mailing Address
Mr. SAM PRASANNA RAJKUMAR JAMES OTR
6711 WESTPOINTE DR
TROY, MI 48085-1234
Phone number:
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