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1477103414
DOMINIQUE S. HARNAGE
LONGVIEW, TX
NPI
1477103414
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Former Name
DOMINIQUE S. WILTZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP143021)
Enumeration Date
2019-09-11
Last Update Date
2021-01-04
Business Address
DOMINIQUE S. HARNAGE APRN, FNP
700 E MARSHALL AVE
LONGVIEW, TX 75601-5580
Phone number: 903-315-1488
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Mailing Address
DOMINIQUE S. HARNAGE APRN, FNP
PO BOX 846098
DALLAS, TX 75284-6098
Phone number: 903-324-6400
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