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1699094698
PRASANTH ELAVARTHY
JACKSON, MI
NPI
1699094698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501014171)
Enumeration Date
2010-05-31
Last Update Date
2010-05-31
Business Address
-- PRASANTH ELAVARTHY
3406 MAYAPPLE LN APT#21
JACKSON, MI 49201-7189
Phone number: 248-425-9716
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Mailing Address
-- PRASANTH ELAVARTHY
3406 MAYAPPLE LN APT#21
JACKSON, MI 49201-7189
Phone number: 248-425-9716
Copy
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