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1295353894
DOMINICK EDISON
AUSTIN, TX
NPI
1295353894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 984059)
Enumeration Date
2020-07-09
Last Update Date
2020-07-09
Business Address
DOMINICK EDISON
403 E 15TH ST
AUSTIN, TX 78701-1437
Phone number: 512-804-3335
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Mailing Address
DOMINICK EDISON
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-472-4357
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