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Individual
MANA ESPAHBODI
Active
Individual
MANA ESPAHBODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
D90995
MD
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
12792745-1205
UT
Other
Enumeration date
04/08/2016
Last updated
06/30/2022
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