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Individual

FABIAN SOLDEVILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CP, LP

Contact information

Practice address
6011 HARRY HINES BLVD, DALLAS, TX 75390-9091
(214) 645-8250
Mailing address
6011 HARRY HINES BLVD, DALLAS, TX 75390-9091
(214) 645-8250

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CP004349

Other

Enumeration date
06/06/2019
Last updated
06/06/2019
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