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Individual

AILENE SOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1248 MARSEILLE DR APT 5, MIAMI BEACH, FL 33141-2858
(512) 903-8736
Mailing address
1248 MARSEILLE DR APT 5, MIAMI BEACH, FL 33141-2858

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
01/30/2023
Last updated
01/30/2023
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