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Individual

DOMINIQUE MORRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
18707 BURNHAM AVE, LANSING, IL 60438-3588
(708) 323-5664
Mailing address
14094 JOHN HUMPHREY DR, ORLAND PARK, IL 60462-1208
(708) 323-5664

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043124679
IL

Other

Enumeration date
08/08/2024
Last updated
08/08/2024
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