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1972164986
SUSHRUTH REDDY MOKU
TAYLOR, MI
NPI
1972164986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: MI 5151013968)
Enumeration Date
2019-06-21
Last Update Date
2019-06-21
Business Address
Dr. SUSHRUTH REDDY MOKU DO
10000 TELEGRAPH RD
TAYLOR, MI 48180-3330
Phone number: 313-295-5000
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Mailing Address
Dr. SUSHRUTH REDDY MOKU DO
1859 PRESERVE BLVD
CANTON, MI 48188-2221
Phone number: 607-731-5390
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