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Individual

DOROTHY LETICIA NAKIBIRIGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3400 STATE ST STE G750, SALEM, OR 97301-7012
(651) 707-6144
Mailing address
615 WESTBURY LN, GEORGETOWN, TX 78633-1848
(651) 707-6144

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
J800177819108
MN

Other

Enumeration date
10/29/2019
Last updated
10/29/2019
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