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1114348620
SARAH E DOMINIQUE
PEORIA, IL
NPI
1114348620
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Former Name
SARAH E ALLEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364SP0200X Clinical Nurse Specialist, Pediatrics
(Licence: IL 209010901)
Enumeration Date
2013-12-31
Last Update Date
2017-12-21
Business Address
SARAH E DOMINIQUE APN CDE
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-624-2480
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Mailing Address
SARAH E DOMINIQUE APN CDE
1400 FLOSSMOOR AVE
WASHINGTON, IL 61571-1108
Phone number:
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