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Individual
SOPHIA MA
Active
Individual
SOPHIA MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
13303540-1205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A161797
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2014
Last updated
04/11/2023
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