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Individual

DR. DOLORES VILLAMOR VICTORIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
242 BROCKFORD ROAD, HEFLIN, AL 36264-1608
(256) 492-0131
(334) 382-1231
Mailing address
P.O. BOX 97, GADSDEN, AL 35902-0097
(256) 492-0131
(256) 494-6000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11416
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
108712
AL
Enumeration date
12/18/2006
Last updated
04/27/2011
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