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1235606518
MARIAH PAZ DOMINGUEZ
GRAND RAPIDS, MI
NPI
1235606518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL 9111654)
Enumeration Date
2018-10-25
Last Update Date
2022-06-07
Business Address
MARIAH PAZ DOMINGUEZ PA-C
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546-8602
Phone number: 616-272-3533
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Mailing Address
MARIAH PAZ DOMINGUEZ PA-C
103 S JACKSON ST STE 200
JACKSON, MI 49201-2211
Phone number: 517-212-9000
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