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1164936555
FERNANDO DOMINGUEZ
DALLAS, TX
NPI
1164936555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT6919)
Enumeration Date
2017-11-22
Last Update Date
2018-03-17
Business Address
FERNANDO DOMINGUEZ ATC, LAT
1130 BEACHVIEW ST
DALLAS, TX 75218-3700
Phone number: 469-341-5676
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Mailing Address
FERNANDO DOMINGUEZ ATC, LAT
9730 ASH CREEK DR
DALLAS, TX 75228-3602
Phone number:
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