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1255816807
DOMINOE NICHOLE BANUELOS
DENVER, CO
NPI
1255816807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CO 002025261)
Enumeration Date
2018-09-29
Last Update Date
2018-09-29
Business Address
DOMINOE NICHOLE BANUELOS DH
3705 E COLFAX AVE UNIT 101
DENVER, CO 80206-1810
Phone number: 303-399-3001
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Mailing Address
DOMINOE NICHOLE BANUELOS DH
18159 E 44TH AVE
DENVER, CO 80249-7602
Phone number: 303-669-0624
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