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1356737118
SUMMAYA ABDUL LATIF
MEDFORD, OR
NPI
1356737118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD202990)
Enumeration Date
2015-04-08
Last Update Date
2021-08-05
Business Address
SUMMAYA ABDUL LATIF M.D.
555 BLACK OAK DR
MEDFORD, OR 97504-8447
Phone number: 541-789-8873
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Mailing Address
SUMMAYA ABDUL LATIF M.D.
2825 E BARNETT RD # MSS
MEDFORD, OR 97504-8332
Phone number: 541-789-4281
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