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Individual
DORA KISSI
Active
Individual
DORA KISSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
9051
CA
367A00000X
Advanced Practice Midwife
Primary
826
CA
Other
Enumeration date
05/25/2012
Last updated
06/01/2016
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