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1003517921
DOMINIQUE MARIE FATICA
LAKEWOOD, OH
NPI
1003517921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH APRN.CNP.0033468)
Enumeration Date
2023-03-16
Last Update Date
2023-03-16
Business Address
DOMINIQUE MARIE FATICA
11706 CLIFTON BLVD
LAKEWOOD, OH 44107-2018
Phone number: 866-389-2727
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Mailing Address
DOMINIQUE MARIE FATICA
11706 CLIFTON BLVD
LAKEWOOD, OH 44107-2018
Phone number: 866-389-2727
Copy
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