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1124283767
LISA G DOMINO
ANKENY, IA
NPI
1124283767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IA 002438)
Enumeration Date
2008-07-23
Last Update Date
2022-07-21
Business Address
DR. LISA G DOMINO O.D.
2510 SW WHITE BIRCH DR STE 5
ANKENY, IA 50023-7171
Phone number: 515-450-1339
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Mailing Address
DR. LISA G DOMINO O.D.
2510 SW WHITE BIRCH DR STE 5
ANKENY, IA 50023-7171
Phone number: 515-450-1339
Copy
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