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Individual

DORIS DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
415 HUMBOLDT ST STE B, SANTA ROSA, CA 95404-4214
(707) 565-2696
Mailing address
415 HUMBOLDT ST STE B, SANTA ROSA, CA 95404-4214

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
503533
CA

Other

Enumeration date
12/12/2006
Last updated
07/01/2014
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