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1912958299
HARSHA PERERA JAYATILAKE
LIVONIA, MI
NPI
1912958299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301062267)
Enumeration Date
2006-05-12
Last Update Date
2023-03-07
Business Address
HARSHA PERERA JAYATILAKE M.D.
37663 PEMBROKE AVE
LIVONIA, MI 48152-1050
Phone number: 743-591-1300
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Mailing Address
HARSHA PERERA JAYATILAKE M.D.
37663 PEMBROKE AVE
LIVONIA, MI 48152-1050
Phone number: 734-591-1300
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