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Individual

AKHILA PAREPALLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1775 THOMPSON RD, COOS BAY, OR 97420-2125
(541) 269-8111
Mailing address
1775 THOMPSON RD, COOS BAY, OR 97420-2125

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA205120
OR
363A00000X
Physician Assistant
OR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/09/2021
Last updated
12/08/2021
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