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Individual

DR. SANJEEV L BALI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
355 S 8TH ST APT 7, COOS BAY, OR 97420-4671
(775) 530-3331
Mailing address
355 S 8TH ST APT 7, COOS BAY, OR 97420-4671
(775) 530-3331

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013472
OR

Other

Enumeration date
05/21/2013
Last updated
05/21/2013
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