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1083813026
MOISES DOMINGUEZ
PASCO, WA
NPI
1083813026
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Other Name
MOISES DOMINGUEZ
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-07-11
Last Update Date
2007-07-11
Business Address
-- MOISES DOMINGUEZ CHW
515 W COURT ST
PASCO, WA 99301
Phone number: 509-547-2204
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Mailing Address
-- MOISES DOMINGUEZ CHW
PO BOX 1323
PASCO, WA 99301
Phone number: 509-547-2204
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