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Individual

DOMINIQUE ROBINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RMA

Contact information

Practice address
4706 COLUMBINE CT, MEMPHIS, TN 38118-7217
(901) 859-9390
Mailing address
4706 COLUMBINE CT, MEMPHIS, TN 38118-7217
(901) 859-9390

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
2598787
TN

Other

Enumeration date
04/28/2015
Last updated
04/28/2015
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