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1649348269
MIGUEL G CARBONELL
MEDFORD, OR
NPI
1649348269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: OR MD19893)
Enumeration Date
2006-12-01
Last Update Date
2008-01-02
Business Address
-- MIGUEL G CARBONELL MD
3190 STATE ST 102
MEDFORD, OR 97504
Phone number: 541-773-1565
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Mailing Address
-- MIGUEL G CARBONELL MD
3190 STATE ST 102
MEDFORD, OR 97504-8498
Phone number: 541-773-1565
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