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Individual

MAYA GOMEZ HALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 624-4031
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 433-7351

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
13591
MN
363L00000X
Nurse Practitioner
Primary
13591
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
01/08/2025
Last updated
04/20/2026
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