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1184196719
LAURA LIDIA DOMINGUEZ
SANTA MARIA, CA
NPI
1184196719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95010540)
Enumeration Date
2018-12-20
Last Update Date
2018-12-20
Business Address
LAURA LIDIA DOMINGUEZ NP
361 TOWN CTR W
SANTA MARIA, CA 93458-5076
Phone number: 805-922-6581
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Mailing Address
LAURA LIDIA DOMINGUEZ NP
735 SAGE CREST DR
SANTA MARIA, CA 93455-8004
Phone number: 559-310-4506
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