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1023493541
SHWETHA R GURRAM
SALEM, OR
NPI
1023493541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD188784)
Enumeration Date
2015-07-26
Last Update Date
2019-01-14
Business Address
SHWETHA R GURRAM M.D
966 12TH ST SE STE 130
SALEM, OR 97302-2860
Phone number: 503-814-4400
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Mailing Address
SHWETHA R GURRAM M.D
PO BOX 13129
SALEM, OR 97309-1129
Phone number:
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