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Dominique Nettles, LPN
NPI 1992521322 · on the registry since 2024 · sole proprietor
Practice
- Address
- 431 Dalman Ave
Fort Wayne, IN 46806 - Phone
- (260) 312-9492
- Organisation at this address
- For A Such Time
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana