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1427539907
ENRIQUE DOMINGUEZ
SAN ANTONIO, TX
NPI
1427539907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2000766)
Enumeration Date
2018-08-23
Last Update Date
2018-08-23
Business Address
ENRIQUE DOMINGUEZ
515 W ASHBY PL
SAN ANTONIO, TX 78212-3802
Phone number: 352-382-1141
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Mailing Address
ENRIQUE DOMINGUEZ
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 352-382-1141
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