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1942871876
MALLA MITTA
PORT HURON, MI
NPI
1942871876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302038531)
Enumeration Date
2021-07-01
Last Update Date
2021-07-01
Business Address
Mr. MALLA MITTA RPh
1524 10TH ST
PORT HURON, MI 48060-5815
Phone number: 810-982-3100
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Mailing Address
Mr. MALLA MITTA RPh
1524 10TH ST
PORT HURON, MI 48060-5815
Phone number: 810-982-3100
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