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Individual

DR. NANCY LISETTE MORA BECERRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
75 HOSPITAL DR, SUITE 200, ATHENS, OH 45701-2857
(740) 566-4880
(740) 566-4881
Mailing address
75 HOSPITAL DR, SUITE 200, ATHENS, OH 45701-2857
(740) 566-4880
(740) 566-4881

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125057327
IL
207R00000X
Internal Medicine Physician
Primary
35121708
OH

Other

Enumeration date
09/03/2010
Last updated
12/01/2021
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