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1063254910
SAMUEL DOMINGO
ROSEVILLE, CA
NPI
1063254910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95029993)
Enumeration Date
2024-06-11
Last Update Date
2024-06-11
Business Address
Mr. SAMUEL DOMINGO MSN, FNP
1528 EUREKA RD
ROSEVILLE, CA 95661-3047
Phone number: 916-772-5325
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Mailing Address
Mr. SAMUEL DOMINGO MSN, FNP
301 GIBSON DR APT 2626
ROSEVILLE, CA 95678-5416
Phone number: 657-272-9586
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