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1710246038
SRINIVAS KONDA
DETROIT, MI
NPI
1710246038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501014931)
Enumeration Date
2012-05-07
Last Update Date
2012-05-07
Business Address
-- SRINIVAS KONDA
7004 MICHIGAN AVE
DETROIT, MI 48210-2872
Phone number: 313-554-3600
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Mailing Address
-- SRINIVAS KONDA
7004 MICHIGAN AVE
DETROIT, MI 48210-2872
Phone number: 313-554-3600
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