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1376575282
LARISSA F DOMINY
COLLEGEVILLE, PA
NPI
1376575282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: PA OS-009162L)
Enumeration Date
2006-07-07
Last Update Date
2007-07-08
Business Address
Dr. LARISSA F DOMINY D.O.
555 SOUTH SECOND AVENUE BUILDING B, SUITE 200
COLLEGEVILLE, PA 19426
Phone number: 610-409-8050
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Mailing Address
Dr. LARISSA F DOMINY D.O.
102 SHETLAND WAY
COLLEGEVILLE, PA 19426-2854
Phone number: 610-409-8147
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