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1649989997
SOPHIA ELIZABETH JELSOMENO
DEARBORN, MI
NPI
1649989997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156F00000X Technician/Technologist
Enumeration Date
2022-11-15
Last Update Date
2023-12-06
Business Address
SOPHIA ELIZABETH JELSOMENO
4953 SCHAEFER RD
DEARBORN, MI 48126-3260
Phone number: 800-789-3062
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Mailing Address
SOPHIA ELIZABETH JELSOMENO
16522 MELBA JEAN ST
SOUTHGATE, MI 48195-2912
Phone number: 734-559-4676
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