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Individual
MISS SALLY JUNG DEFRIES
Active
Individual
MISS SALLY JUNG DEFRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
832594
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP144692
TX
Other
Enumeration date
12/24/2019
Last updated
06/07/2021
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