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1366424921
JACQUELINE D DOMINICK
GLEN BURNIE, MD
NPI
1366424921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: MD R097460)
Enumeration Date
2005-11-18
Last Update Date
2007-12-03
Business Address
JACQUELINE D DOMINICK CRNP
301 HOSPITAL DR
GLEN BURNIE, MD 21061-5803
Phone number: 410-787-4000
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Mailing Address
JACQUELINE D DOMINICK CRNP
300 HOSPITAL DR SUITE 215
GLEN BURNIE, MD 21061-6902
Phone number: 410-787-4000
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