NEVAN DOMINGUEZ

KANSAS CITY, MO
NPI1235581927
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-07-06
Last Update Date2017-03-26
Business Address
Mr. NEVAN DOMINGUEZ ATC
1 ROYAL WAY
KANSAS CITY, MO 64129-1695
Phone number: 505-250-1464
Mailing Address
Mr. NEVAN DOMINGUEZ ATC
2214 VIA ESTERLINA AVE SE
RIO RANCHO, NM 87124-8714
Phone number: 505-250-1464
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