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1790289494
JAYACHANDRA BOMMAREDDY
CLINTON TOWNSHIP, MI
NPI
1790289494
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501013421)
Enumeration Date
2018-03-19
Last Update Date
2018-03-19
Business Address
JAYACHANDRA BOMMAREDDY
17001 17 MILE RD
CLINTON TOWNSHIP, MI 48038-2801
Phone number: 586-286-7100
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Mailing Address
JAYACHANDRA BOMMAREDDY
3198 FANTAIL DR
ROCHESTER HILLS, MI 48309-4292
Phone number: 510-565-4554
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