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1861454993
SOPHIA BEYENE
RIALTO, CA
NPI
1861454993
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Former Name
SOPHIA SELASSIE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A7687)
Enumeration Date
2006-04-04
Last Update Date
2023-08-01
Business Address
SOPHIA BEYENE DO
1851 N RIVERSIDE AVE
RIALTO, CA 92376-8069
Phone number: 909-421-2700
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Mailing Address
SOPHIA BEYENE DO
PO BOX 12209
SAN BERNARDINO, CA 92423-2209
Phone number: 909-335-4188
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