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1770828600
DONNA DICKERHOFF
AUSTIN, TX
NPI
1770828600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: TX 825)
Enumeration Date
2012-12-04
Last Update Date
2012-12-04
Business Address
-- DONNA DICKERHOFF
8402 CROSS PARK DR
AUSTIN, TX 78754-4595
Phone number: 512-697-8500
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Mailing Address
-- DONNA DICKERHOFF
8402 CROSS PARK DR
AUSTIN, TX 78754-4595
Phone number: 512-697-8500
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