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1730415217
VIDATH K SHAH
MT PLEASANT, MI
NPI
1730415217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501013380)
Enumeration Date
2009-10-19
Last Update Date
2009-10-19
Business Address
Mr. VIDATH K SHAH RPT
555 S MISSION ST
MT PLEASANT, MI 48858-2846
Phone number: 989-772-7755
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Mailing Address
Mr. VIDATH K SHAH RPT
555 S MISSION ST
MT PLEASANT, MI 48858-2846
Phone number: 989-772-7755
Copy
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