Dominique Burrell

NPI #1255537387 in Speedway, Indiana

Provider Information

NPI Number
1255537387
Entity Type
Individual
Name
Dominique Burrell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jun 25, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2225 WHITE OAKS DR
State
Indiana
ZIP Code
46224-3914
Phone
(317) 247-9095

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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