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1659828176
BALACHANDAR JANAMALA
BROOKLYN, NY
NPI
1659828176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 040729)
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
-- BALACHANDAR JANAMALA
825 57TH ST LONGEVOUS MEDICAL HEALTHCARE, PC
BROOKLYN, NY 11220
Phone number: 646-750-2090
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Mailing Address
-- BALACHANDAR JANAMALA
8395 MAGNOLIA AVE APT NO
RIVERSIDE, CA 92504-3224
Phone number: 951-750-9284
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