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MRS. DOMINIQUE YVETTE LYDIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N

Contact information

Practice address
3303 W ILLINOIS AVE STE 22, MIDLAND, TX 79703-6232
(432) 681-7613
Mailing address
3303 W ILLINOIS AVE STE 22, MIDLAND, TX 79703-6232
(432) 681-7613

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
939045
TX

Other

Enumeration date
05/25/2018
Last updated
05/25/2018
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