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1942088612
DOMINIQUE BLACKMON
ROCKWALL, TX
NPI
1942088612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2023-09-15
Last Update Date
2023-09-20
Business Address
DOMINIQUE BLACKMON DPT
2268 N LAKE SHORE DR STE 106
ROCKWALL, TX 75087-0280
Phone number: 972-979-6577
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Mailing Address
DOMINIQUE BLACKMON DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 866-370-8206
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