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1801839444
JAMES DAVIN DICKERSON
COUNCIL BLUFFS, IA
NPI
1801839444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: IA A108066)
Enumeration Date
2006-06-13
Last Update Date
2007-07-08
Business Address
JAMES DAVIN DICKERSON ARNP
300 W BROADWAY
COUNCIL BLUFFS, IA 51503-9045
Phone number: 712-256-7511
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Mailing Address
JAMES DAVIN DICKERSON ARNP
300 W BROADWAY
COUNCIL BLUFFS, IA 51503-9045
Phone number: 712-256-7511
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