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1952154726
SOPHIA ISABEL DEKLOTZ
PALO ALTO, CA
NPI
1952154726
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-10
Last Update Date
2024-04-10
Business Address
SOPHIA ISABEL DEKLOTZ MD
725 WELCH RD
PALO ALTO, CA 94304-1601
Phone number: 650-497-8979
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Mailing Address
SOPHIA ISABEL DEKLOTZ MD
2209 E ROANOKE ST
SEATTLE, WA 98112-2241
Phone number: 208-309-2870
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