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Individual
SARAH LOUISE DOLEZAL
Active
Individual
SARAH LOUISE DOLEZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10264
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026172100
—
NE
05
—
10026304600
—
NE
Enumeration date
07/23/2014
Last updated
07/23/2014
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