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Individual

CORAL MOLINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3099
(417) 326-6000
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3099

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2024015222
MO
207Q00000X
Family Medicine Physician
LL83525
SC

Other

Enumeration date
03/26/2021
Last updated
10/02/2025
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