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Individual

KRISTIAN GOMBART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1276 CLEVELAND RAPIDS RD, ROSEBURG, OR 97471-7825
(541) 784-8840
Mailing address
1276 CLEVELAND RAPIDS RD, ROSEBURG, OR 97471-7825

Taxonomy

Speciality
Code
Description
License number
State
344600000X
Taxi
Primary

Other

Enumeration date
08/02/2018
Last updated
08/02/2018
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Product
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  • Eligibility checks
  • EDI platform