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1215200068
SHALI D DOMINGUEZ
TORRINGTON, WY
NPI
1215200068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2012-02-09
Last Update Date
2016-11-18
Business Address
SHALI D DOMINGUEZ
501 ALBANY AVE
TORRINGTON, WY 82240-1503
Phone number: 307-532-4091
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Mailing Address
SHALI D DOMINGUEZ
501 ALBANY AVE
TORRINGTON, WY 82240-1503
Phone number: 307-532-4091
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