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Individual

ESTRELITA A DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3130 HIGHLAND AVE, ML 0782, CINCINNATI, OH 45219-2399
(513) 584-4503
(513) 584-0462
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5504

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-063774
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0904409
OH
05
200037910
IN
05
64931595
KY
Enumeration date
04/20/2006
Last updated
02/28/2019
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