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1104860519
DIANE DICKINSON
EUREKA, CA
NPI
1104860519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G69727)
Enumeration Date
2006-06-15
Last Update Date
2013-04-01
Business Address
Dr. DIANE DICKINSON M.D.
4058 D ST
EUREKA, CA 95503-6025
Phone number: 707-599-1561
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Mailing Address
Dr. DIANE DICKINSON M.D.
PO BOX 1127
ARCATA, CA 95518-1127
Phone number: 707-599-1561
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