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Individual
MS. DOMINIQUE O HINES
Active
Individual
MS. DOMINIQUE O HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
246026-1
NY
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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