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1043885064
MARIA CONNIE DOMINGUEZ
DALLAS, TX
NPI
1043885064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: TX 2259)
Enumeration Date
2021-05-21
Last Update Date
2021-05-21
Business Address
MARIA CONNIE DOMINGUEZ
4500 SPRING AVE
DALLAS, TX 75210-1350
Phone number: 214-860-3077
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Mailing Address
MARIA CONNIE DOMINGUEZ
4500 SPRING AVE
DALLAS, TX 75210-1350
Phone number: 214-865-3060
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