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Individual

ADITI IRA VIJENDRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3917 RESEARCH PARK DR, ANN ARBOR, MI 48108-2229
(734) 794-2930
Mailing address
8559 AARONS WOOD CT, SYLVANIA, OH 43560-8405

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/25/2023
Last updated
10/25/2023
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