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1265170179
JENNIFER DOMINGUE
NORTH MIAMI, FL
NPI
1265170179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11019511)
Enumeration Date
2022-05-23
Last Update Date
2022-05-23
Business Address
JENNIFER DOMINGUE PMHNP-BC
1051 NE 138TH ST
NORTH MIAMI, FL 33161-3823
Phone number: 305-494-9999
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Mailing Address
JENNIFER DOMINGUE PMHNP-BC
1051 NE 138TH ST
NORTH MIAMI, FL 33161-3823
Phone number: 305-494-9999
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