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1902900137
VIMAL MOHUN AGA
SALEM, OR
NPI
1902900137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry
(Licence: OR MD24306)
Enumeration Date
2006-09-08
Last Update Date
2007-07-08
Business Address
-- VIMAL MOHUN AGA
2600 CENTER ST NE
SALEM, OR 97301
Phone number: 503-945-7102
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Mailing Address
-- VIMAL MOHUN AGA
PO BOX 14900
SALEM, OR 97309-5016
Phone number: 503-945-9840
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