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1033550652
MICHELLE DOMINGUE
BROOKLYN, NY
NPI
1033550652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 312306)
Enumeration Date
2013-07-11
Last Update Date
2013-07-11
Business Address
-- MICHELLE DOMINGUE LPN
1155 FLATBUSH AVE
BROOKLYN, NY 11226-7003
Phone number: 347-240-2026
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Mailing Address
-- MICHELLE DOMINGUE LPN
1755 BROOKLYN AVE
BROOKLYN, NY 11210-3428
Phone number: 347-600-4089
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