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1104600501
CARLOS ALBERTO DOMINGUEZ GONZALEZ
PHILADELPHIA, PA
NPI
1104600501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
170300000X Genetic Counselor, MS
(Licence: PA PGC000165)
Enumeration Date
2023-08-24
Last Update Date
2023-08-24
Business Address
CARLOS ALBERTO DOMINGUEZ GONZALEZ
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-1719
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Mailing Address
CARLOS ALBERTO DOMINGUEZ GONZALEZ
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-1719
Copy
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