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1154883486
CHARLIE DOMINGUEZ
LAS CRUCES, NM
NPI
1154883486
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Professional Name
CHARLIE DOMINGUEZ
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM 557338)
Enumeration Date
2019-04-04
Last Update Date
2019-04-04
Business Address
Mr. CHARLIE DOMINGUEZ FNP
1605 EL PASEO RD
LAS CRUCES, NM 88001-6010
Phone number: 575-523-5400
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Mailing Address
Mr. CHARLIE DOMINGUEZ FNP
1605 EL PASEO RD
LAS CRUCES, NM 88001-6010
Phone number: 575-523-5400
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