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1134310493
DIXIE E. LANE
PHOENIX, AZ
NPI
1134310493
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: AZ 375677)
Enumeration Date
2007-08-01
Last Update Date
2008-05-14
Business Address
-- DIXIE E. LANE R.D., C.D.E.
2302 N 75TH AVE
PHOENIX, AZ 85035-1216
Phone number: 623-849-7500
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Mailing Address
-- DIXIE E. LANE R.D., C.D.E.
11001 N BLACK CANYON HWY
PHOENIX, AZ 85029-4757
Phone number: 602-942-4462
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