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Individual

DIXIE KOZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2266 S DOBSON RD STE 200, MESA, AZ 85202-6412
(480) 499-3991
(480) 488-3991
Mailing address
2266 S DOBSON RD STE 200, MESA, AZ 85202-6412
(480) 499-3991
(480) 488-3991

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
163W00000X
Registered Nurse
Primary
RN101283
AZ
163WH0200X
Home Health Registered Nurse
RN101283
AZ
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN101283
AZ
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
06/22/2023
Last updated
06/22/2023
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