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1639455207
KIRAN KOTU
OMAHA, NE
NPI
1639455207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NE 2694)
Enumeration Date
2011-10-27
Last Update Date
2011-10-27
Business Address
-- KIRAN KOTU PT
1540 N 72ND ST
OMAHA, NE 68114-1924
Phone number: 402-398-3958
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Mailing Address
-- KIRAN KOTU PT
7009 S HARRISON HILLS DR APT-207
LA VISTA, NE 68128-7710
Phone number: 317-529-2978
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