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1962123505
TINA MARIE DOMINEY
BALTIMORE, MD
NPI
1962123505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: MD R195420)
Enumeration Date
2022-09-12
Last Update Date
2022-09-12
Business Address
TINA MARIE DOMINEY DNP, CRNP, AGNP-C
345 SAINT PAUL ST
BALTIMORE, MD 21202-2123
Phone number: 410-332-9000
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Mailing Address
TINA MARIE DOMINEY DNP, CRNP, AGNP-C
825 DRAKE LN
SEVERN, MD 21144-2797
Phone number: 301-247-0098
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