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1952006108
SONIA LISSETH HERNANDEZ
SAN ANTONIO, TX
NPI
1952006108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-04
Last Update Date
2023-04-04
Business Address
SONIA LISSETH HERNANDEZ DO
4502 MEDICAL DR
SAN ANTONIO, TX 78229-4402
Phone number: 210-358-4000
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Mailing Address
SONIA LISSETH HERNANDEZ DO
1605 STANLEY RUSS RD
CONWAY, AR 72034-8667
Phone number: 817-403-2445
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