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Individual
MRS. REBECCA ROBANCHO REYES
Active
Individual
MRS. REBECCA ROBANCHO REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
037649
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000131576
ANTHEM
OH
05
—
0428657
—
OH
Enumeration date
08/18/2005
Last updated
03/29/2011
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