Individual
MRS. DOMINIQUE F DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
1225 CENTER DR, GAINESVILLE, FL 32610-0154
(352) 273-6085
Mailing address
1115 NW 40TH DRIVE, GAINESVILLE, FL 33313-4750
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/11/2009
Last updated
06/21/2013
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