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1598261547
JITENDRA SAMAL
CANTON, MI
NPI
1598261547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501008554)
Enumeration Date
2018-03-30
Last Update Date
2018-03-30
Business Address
Mr. JITENDRA SAMAL
1343 KENSINGTON DR
CANTON, MI 48188-3247
Phone number: 313-278-5087
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Mailing Address
Mr. JITENDRA SAMAL
1343 KENSINGTON DR
CANTON, MI 48188-3247
Phone number: 313-278-5087
Copy
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