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Individual
SOFIA JIMENA REYES
Active
Individual
SOFIA JIMENA REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39799
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750089306
—
TX
Enumeration date
02/22/2023
Last updated
03/18/2024
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