Individual
MRS. SHERIL LOUISE MOUNCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 NE 6TH ST STE D, GRANTS PASS, OR 97526-1277
(541) 778-0073
Mailing address
560 NE F ST # 221A, GRANTS PASS, OR 97526-2300
(541) 778-0073
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
217
OR
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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