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Individual

SONYA MAE JUGERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
209 SPEIGHT AVE #214, WACO, TX 76706
(254) 710-4402
(254) 710-3620
Mailing address
209 SPEIGHT AVE #214, WACO, TX 76706
(254) 710-4402
(254) 710-3620

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
140104325880210
TX

Other

Enumeration date
10/02/2006
Last updated
07/08/2007
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