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1407822687
SHOBHA N. JETMALANI
TIGARD, OR
NPI
1407822687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: OR MD15615)
Enumeration Date
2006-02-27
Last Update Date
2012-10-11
Business Address
-- SHOBHA N. JETMALANI M.D.
18040 SW LOWER BOONES FERRY RD SUITE 100
TIGARD, OR 97224-7258
Phone number: 503-215-0700
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Mailing Address
-- SHOBHA N. JETMALANI M.D.
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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