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1023612397
LORENA DOMINGUEZ
BROOKLYN, NY
NPI
1023612397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-11-25
Last Update Date
2020-11-25
Business Address
LORENA DOMINGUEZ PA-C
236 BROADWAY
BROOKLYN, NY 11211-6289
Phone number: 718-804-5939
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Mailing Address
LORENA DOMINGUEZ PA-C
117 CEDARLAWN BLVD
VALLEY STREAM, NY 11580-2009
Phone number:
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