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1487671004
JAEN DOMINGO NUNEZ
NEWPORT NEWS, VA
NPI
1487671004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110-840805)
Enumeration Date
2006-07-17
Last Update Date
2008-05-30
Business Address
-- JAEN DOMINGO NUNEZ P.A.-C
500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601-1929
Phone number: 757-594-2000
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Mailing Address
-- JAEN DOMINGO NUNEZ P.A.-C
PO BOX 601783
CHARLOTTE, NC 28260-1783
Phone number: 866-916-5259
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