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Individual

DIXIE L EDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
940 E LATIGO CT, PAULDEN, AZ 86334-4903
(928) 830-0196
Mailing address
940 E LATIGO CT, PAULDEN, AZ 86334-4903
(928) 830-0196

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
11/20/2007
Last updated
11/20/2007
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  • EDI platform