Mary Domine is a Specialist based in Moorhead, MN. Mary Domine practices in Waite Park, MN. The NPI Number for Mary Domine is 1013626597 and holds a License No. (Minnesota).
The current practice location address for Mary Domine is 423 Great Oak Dr, Waite Park, MN and can be reached out via phone at 218-287-4338.
Location: 423 Great Oak Dr, Waite Park, MN, 56560-5149
Provider Profile Details
NPI Number
1013626597
Provider Name
Mary Domine
Credential
Provider Entity Type
Individual
Gender
Female
Address
423 Great Oak Dr, Waite Park, MN, 56560-5149
Phone Number
218-287-4338
Fax Number
Provider Enumeration Date
11/23/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
423 Great Oak Dr
City
State
Zip
56387-2507
Phone Number
218-287-4338
Fax Number
Provider Business Mailing Address Details
Address
423 Great Oak Dr
City
State
Zip
56387-2507
Phone Number
218-287-4338
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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