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1295359545
DOMENIQUE TAMMINGA
HOLLAND, MI
NPI
1295359545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704308086)
Enumeration Date
2020-06-02
Last Update Date
2020-06-02
Business Address
Mr. DOMENIQUE TAMMINGA FNP-C
1743 STATE ST
HOLLAND, MI 49424-6228
Phone number: 616-834-1417
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Mailing Address
Mr. DOMENIQUE TAMMINGA FNP-C
1743 STATE ST
HOLLAND, MI 49424-6228
Phone number: 616-834-1417
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