MITALIBEN RAJENDRAKUMAR GOR

COOS BAY, OR
NPI1114564630
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  201909528NP-PP)
Enumeration Date2019-12-03
Last Update Date2019-12-03
Business Address
MITALIBEN RAJENDRAKUMAR GOR NP
1900 WOODLAND DR
COOS BAY, OR 97420-2099
Phone number: 541-267-5151
Mailing Address
MITALIBEN RAJENDRAKUMAR GOR NP
705 EDWARDS AVE
COOS BAY, OR 97420-3408
Phone number: 541-404-1414
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