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Individual

DICKENSON JEANPIERRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C

Contact information

Practice address
4330 SHERIDAN ST STE 201B, HOLLYWOOD, FL 33021-1406
(954) 589-0010
(954) 589-0698
Mailing address
361 NE 180TH DR, NORTH MIAMI BEACH, FL 33162-1768
(305) 450-7015

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9867
FL

Other

Enumeration date
01/11/2010
Last updated
11/12/2011
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