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Individual

MRS. DAWN DIMITRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1650 COCHRANE CIR, COLORADO SPRINGS, CO 80913
(931) 217-2766
Mailing address
14310 AIKEN RIDE VW, COLORADO SPRINGS, CO 80926-9613
(931) 217-2766

Taxonomy

Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
664863
TX
176B00000X
Midwife
Primary
AP121614
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP121614
NURSE MIDWIFE TX LICENCE NUMBER
TX
Enumeration date
12/28/2006
Last updated
04/11/2019
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