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1720058100
SHIVAJEE V NALLAMOTHU
CLARKSTON, MI
NPI
1720058100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: MI 5101012532)
Enumeration Date
2006-01-26
Last Update Date
2015-12-10
Business Address
-- SHIVAJEE V NALLAMOTHU D.O.
5701 BOW POINTE DR SUITE 300
CLARKSTON, MI 48346-3198
Phone number: 248-620-2325
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Mailing Address
-- SHIVAJEE V NALLAMOTHU D.O.
5701 BOW POINTE DR SUITE 300
CLARKSTON, MI 48346-3198
Phone number: 248-620-2325
Copy
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