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1447674833
NICOLE DALENE DAWSON
GRASS VALLEY, CA
NPI
1447674833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
2014-02-06
Last Update Date
2014-02-06
Business Address
NICOLE DALENE DAWSON
714 W. MAIN ST
GRASS VALLEY, CA 95945
Phone number: 560-477-9800
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Mailing Address
NICOLE DALENE DAWSON
714 W. MAIN ST
GRASS VALLEY, CA 95945
Phone number: 560-477-9800
Copy
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