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1639154875
THERESA AILEEN MUDAY
COOS BAY, OR
NPI
1639154875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD22695)
Enumeration Date
2005-12-09
Last Update Date
2007-10-26
Business Address
Dr. THERESA AILEEN MUDAY MD
1900 WOODLAND DR
COOS BAY, OR 97420-0000
Phone number: 541-267-5151
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Mailing Address
Dr. THERESA AILEEN MUDAY MD
1900 WOODLAND DR
COOS BAY, OR 97420-0000
Phone number: 541-267-5151
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