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1124403167
CHARLES DIXON
GAINESVILLE, FL
NPI
1124403167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-07-20
Last Update Date
2015-07-20
Business Address
-- CHARLES DIXON MA
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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Mailing Address
-- CHARLES DIXON MA
1153 CORAL FARMS RD BOX 583
FLORAHOME, FL 32140-0583
Phone number: 386-972-6018
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