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1710349451
SOFIA POONAWALA-MANJEE
BEDFORD, TX
NPI
1710349451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 752444)
Enumeration Date
2016-03-22
Last Update Date
2021-05-10
Business Address
SOFIA POONAWALA-MANJEE FNP
2716 TIBBETS DR
BEDFORD, TX 76022-6915
Phone number: 817-571-6644
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Mailing Address
SOFIA POONAWALA-MANJEE FNP
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1855
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