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Individual

MRS. DOMINIQUE L. SAUNDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.N.

Contact information

Practice address
6593 STONE RD, HUDSON, OH 44236-3607
(330) 653-8143
Mailing address
6593 STONE RD, HUDSON, OH 44236-3607

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.088911
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2569608
INDEPENDENT PROVIDER NUM
OH
Enumeration date
01/15/2007
Last updated
07/08/2007
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