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Gamintz
Gamintz
Dominique sim...
Licensed practical nurse
Keizer, United States
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Florida Health Care Practitioner Data Portal
Full name
GAMINTZ Dominique Similien
Job Title
Licensed Practical Nurse
Location
Keizer, OR, USA
LIC ID
155898
Current License Expiration Date
31/07/2025
Original Date
29/01/2013
Professional Rank Code
PN
Effective Date
20/11/2019
Board Action Indicator
Y
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Practice Location Address Line 1
5325 ARCADE AVE NE
Practice Location Address City
KEIZER
Practice Location Address State
OR
Practice Location Address Zipcode
97303
Mode Code
Single-state License
Prescribing Indicator
N
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