Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI # | 1083895395 |
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| Entity | Organization | ||||
| Organization subpart 1 | Not specified | ||||
| Enumeration date | 11/15/2007 | ||||
| Last updated | 11/15/2007 - About 19 years ago | ||||
| Identifiers |
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KIMMY GOYAL
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