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Individual

SANDRA LEE DOMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, APRN, BC

Contact information

Practice address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 861-3100
(513) 487-6625
Mailing address
4649 BURR OAK ST, CINCINNATI, OH 45232-1723

Taxonomy

Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
RN127868
OH

Other

Enumeration date
09/24/2006
Last updated
07/08/2007
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