DOMINIQUE CAPORUSSO

ERLANGER, KY
NPI1225697329
Former NameDOMINIQUE WADE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: KY  TC835)
Enumeration Date2019-06-12
Last Update Date2022-01-17
Business Address
DOMINIQUE CAPORUSSO PA-C
650 SPRUCEWOOD LN
ERLANGER, KY 41018-1062
Phone number: 859-282-6600
Mailing Address
DOMINIQUE CAPORUSSO PA-C
22 CASAGRANDE ST
FORT THOMAS, KY 41075-4023
Phone number: 859-512-7050
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