DOMINIQUE MCMILLON

DECATUR, IL
NPI1710403845
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043122650)
Enumeration Date2017-08-21
Last Update Date2017-08-21
Business Address
DOMINIQUE MCMILLON
151 N MAIN ST
DECATUR, IL 62523-1206
Phone number: 217-362-6262
Mailing Address
DOMINIQUE MCMILLON
151 N MAIN ST
DECATUR, IL 62523-1206
Phone number:
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