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1306351028
NICOLE LYN DOMINICK
WILKES BARRE, PA
NPI
1306351028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: PA SP018244)
Enumeration Date
2017-12-04
Last Update Date
2017-12-20
Business Address
Mrs. NICOLE LYN DOMINICK CRNP
1130 HIGHWAY 315 BLVD STE 4
WILKES BARRE, PA 18702-6952
Phone number: 570-823-8896
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Mailing Address
Mrs. NICOLE LYN DOMINICK CRNP
1130 HIGHWAY 315 BLVD STE 4
WILKES BARRE, PA 18702-6952
Phone number: 570-823-8896
Copy
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