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Individual
MAGDALENA FUENTES
Active
Individual
MAGDALENA FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
002668
AZ
152W00000X
Optometrist
11277T
TX
152W00000X
Optometrist
Primary
D6614593
CA
152W00000X
Optometrist
NA2885
MD
152W00000X
Optometrist
OPT-OPT-LIC-4589
MT
152W00000X
Optometrist
OPT.0004059
CO
152W00000X
Optometrist
TPOP109
FL
Other
Enumeration date
01/12/2018
Last updated
12/16/2025
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