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1104900174
KATHERINE R. VICKERY
SANTA ROSA, CA
NPI
1104900174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: CA G57946)
Enumeration Date
2006-10-25
Last Update Date
2007-07-08
Business Address
KATHERINE R. VICKERY MD
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403-2149
Phone number: 707-571-4000
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Mailing Address
KATHERINE R. VICKERY MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3429
Phone number: 510-625-6262
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