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Individual
SANDRA CETL
Active
Individual
SANDRA CETL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
13619
NV
208000000X
Pediatrics Physician
Primary
R8166
TX
390200000X
Student in an Organized Health Care Education/Training Program
LL1779
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
386157701
—
TX
Enumeration date
07/06/2007
Last updated
06/25/2025
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