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Individual

MRS. MONICA JEAN DOTSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1249
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
782616
AHCCCS
AZ
Enumeration date
03/28/2008
Last updated
11/24/2008
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