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Individual
VIVIAN SHEILA DUNGAN
Active
Individual
VIVIAN SHEILA DUNGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
Primary
358986
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
358986
LICENSE NUMBER
CA
Enumeration date
02/01/2019
Last updated
02/01/2019
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