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Individual
SANDRA RAJAN
Active
Individual
SANDRA RAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9458TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
396117902
—
TX
05
—
396117903
—
TX
05
—
396117904
—
TX
Enumeration date
07/06/2018
Last updated
06/15/2021
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