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1275996308
DIXIE BOLAN
VICTORVILLE, CA
NPI
1275996308
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-04-05
Last Update Date
2016-04-05
Business Address
-- DIXIE BOLAN
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-241-4917
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Mailing Address
-- DIXIE BOLAN
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-241-4917
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