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1245922137
YEN LE DOMINGUEZ
SAN PABLO, CA
NPI
1245922137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-05-22
Last Update Date
2024-01-24
Business Address
YEN LE DOMINGUEZ
2734 ROLLINGWOOD DR
SAN PABLO, CA 94806-3149
Phone number: 757-773-8590
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Mailing Address
YEN LE DOMINGUEZ
2734 ROLLINGWOOD DR
SAN PABLO, CA 94806-3149
Phone number:
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