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1922574292
DEIDRA DOUGLAS DICKERSON
OWENSBORO, KY
NPI
1922574292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: KY 245161)
Enumeration Date
2018-10-15
Last Update Date
2018-10-15
Business Address
DEIDRA DOUGLAS DICKERSON
1115 TAMARACK RD STE 400
OWENSBORO, KY 42301-6934
Phone number: 270-926-8534
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Mailing Address
DEIDRA DOUGLAS DICKERSON
1115 TAMARACK RD STE 400
OWENSBORO, KY 42301-6934
Phone number: 270-926-8534
Copy
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