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NPI Profile for DORA CLARKE PINE in TEMECULA, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Pastoral |
101YP1600X |
| NPI # | 1386870269 |
|
| Status | Active | |
| Credentials | PhD | |
| Entity | Individual | |
| Enumeration date | 06/04/2009 | |
| Last updated | 06/04/2009 - About 17 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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DORA CLARKE PINE
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DORA CLARKE PINE, PhD