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Individual

MS. DIANNE BOHR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
3452 MENDOCINO AVE # B, SANTA ROSA, CA 95403-2221
(707) 206-8702
Mailing address
PO BOX 1202, SANTA ROSA, CA 95402-1202
(707) 206-8702

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
10852
OR

Other

Enumeration date
11/13/2006
Last updated
07/08/2007
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