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1710130133
SRIDHAR ETIKALA
ROCHESTER, MI
NPI
1710130133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501013332)
Enumeration Date
2008-10-29
Last Update Date
2008-10-29
Business Address
-- SRIDHAR ETIKALA
134 W UNIVERSITY DR 130
ROCHESTER, MI 48307-1951
Phone number: 248-652-1135
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Mailing Address
-- SRIDHAR ETIKALA
439 S MAIN ST
ROCHESTER, MI 48307-6704
Phone number:
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