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1770716144
PRABHAKAR ASHOKKUMAR PATEL
COOS BAY, OR
NPI
1770716144
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD150069)
Enumeration Date
2009-09-01
Last Update Date
2013-05-20
Business Address
-- PRABHAKAR ASHOKKUMAR PATEL MD
1900 WOODLAND DR
COOS BAY, OR 97420-2045
Phone number: 541-267-5151
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Mailing Address
-- PRABHAKAR ASHOKKUMAR PATEL MD
1900 WOODLAND DR
COOS BAY, OR 97420-2045
Phone number: 541-267-5151
Copy
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