Individual
JULIE A DOLLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCP
Contact information
Practice address
301 S CLUB DR, LONGVIEW, TX 75602-1511
(903) 234-0744
Mailing address
301 S CLUB DR, LONGVIEW, TX 75602-1511
(903) 234-0744
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
PF0460
TX
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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