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1609213636
ARYA KHATIWODA
EAST LANSING, MI
NPI
1609213636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: MI 5101020314)
Enumeration Date
2013-05-31
Last Update Date
2018-10-25
Business Address
ARYA KHATIWODA D.O.
2900 HANNAH BLVD STE 104
EAST LANSING, MI 48823-5380
Phone number: 517-364-8118
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Mailing Address
ARYA KHATIWODA D.O.
804 SERVICE RD # A109F
EAST LANSING, MI 48824-7015
Phone number: 517-884-2976
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