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1023480159
ISAAC DOMINGUEZ
WOODLAND, CA
NPI
1023480159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 52837)
Enumeration Date
2015-10-28
Last Update Date
2024-01-08
Business Address
Mr. ISAAC DOMINGUEZ PA-C
2081 BRONZE STAR DR
WOODLAND, CA 95776-5423
Phone number: 530-668-2600
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Mailing Address
Mr. ISAAC DOMINGUEZ PA-C
3400 DATA DR
RANCHO CORDOVA, CA 95670-7956
Phone number:
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