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1992156418
RAATHATHULAKSI KRISHNAMOHAN
SOUTHGATE, MI
NPI
1992156418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301109859)
Enumeration Date
2016-06-27
Last Update Date
2020-05-15
Business Address
RAATHATHULAKSI KRISHNAMOHAN
13667 EUREKA RD
SOUTHGATE, MI 48195-1332
Phone number: 734-530-6777
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Mailing Address
RAATHATHULAKSI KRISHNAMOHAN
30 W MONROE ST STE 1200
CHICAGO, IL 60603-2420
Phone number: 312-733-9730
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