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1841049616
PRADEEP KUMARA MEEGAMA SEMBAKUTTI
WARREN, MI
NPI
1841049616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2024-05-15
Last Update Date
2024-05-15
Business Address
Mr. PRADEEP KUMARA MEEGAMA SEMBAKUTTI
31904 RYAN RD
WARREN, MI 48092-1339
Phone number: 586-344-4458
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Mailing Address
Mr. PRADEEP KUMARA MEEGAMA SEMBAKUTTI
30990 STONE RIDGE DR APT 10106
WIXOM, MI 48393-3898
Phone number: 313-980-2260
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