MONA MYNNEL TARA

GRANTS PASS, OR
NPI1770572380
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  MD15235)
Enumeration Date2005-10-17
Last Update Date2010-12-01
Business Address
-- MONA MYNNEL TARA MD
714 NW 5TH ST
GRANTS PASS, OR 97526-1529
Phone number: 541-244-2292
Mailing Address
-- MONA MYNNEL TARA MD
714 NW 5TH ST
GRANTS PASS, OR 97526-1529
Phone number: 541-244-2292
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