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1447893128
KELLI D DOMINGUEZ
ALBUQUERQUE, NM
NPI
1447893128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM 58658)
Enumeration Date
2019-10-24
Last Update Date
2019-12-23
Business Address
Mrs. KELLI D DOMINGUEZ NP-C
10501 GOLF COURSE RD NW
ALBUQUERQUE, NM 87114-5019
Phone number: 505-727-8000
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Mailing Address
Mrs. KELLI D DOMINGUEZ NP-C
10501 GOLF COURSE RD NW
ALBUQUERQUE, NM 87114-5019
Phone number: 505-727-8000
Copy
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