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Individual

DEDRA DICKENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
112 N CIRCLE DR STE E, ROCKY MOUNT, NC 27804-2429
(877) 652-2907
Mailing address
PO BOX 7623, ROCKY MOUNT, NC 27804-0623
(252) 604-0577

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
HC7440
NC
376J00000X
Homemaker
Primary

Other

Enumeration date
06/03/2024
Last updated
06/03/2024
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