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1649647538
SRIVENKATA SANJEEV MALLAREDDY
DEARBORN, MI
NPI
1649647538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501016710)
Enumeration Date
2015-08-26
Last Update Date
2015-08-26
Business Address
-- SRIVENKATA SANJEEV MALLAREDDY PT
4953 SCHAEFER RD
DEARBORN, MI 48126-3260
Phone number: 313-436-4760
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Mailing Address
-- SRIVENKATA SANJEEV MALLAREDDY PT
28592 ORCHARD LAKE RD STE 340
FARMINGTON HILLS, MI 48334-2962
Phone number: 734-261-0558
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