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1356051148
DENNIS DOMINGUEZ
FORT LUPTON, CO
NPI
1356051148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CO PHA.0024298)
Enumeration Date
2022-12-02
Last Update Date
2022-12-02
Business Address
DENNIS DOMINGUEZ Rph
1300 DEXTER ST
FORT LUPTON, CO 80621-1501
Phone number: 303-857-0136
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Mailing Address
DENNIS DOMINGUEZ Rph
1300 DEXTER ST
FORT LUPTON, CO 80621-1501
Phone number: 303-857-0136
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