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Individual

MISS NICOLE RYAN DORSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
55 AUBURN AVE, SIERRA MADRE, CA 91024-1847
(626) 355-1729
(626) 836-6927
Mailing address
558 E COMSTOCK AVE, GLENDORA, CA 91741-2719
(626) 688-4982

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2309
CA

Other

Enumeration date
03/28/2013
Last updated
03/28/2013
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