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1518336825
NICOLE A. DOMENECH
WINTER HAVEN, FL
NPI
1518336825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: PR 19178)
Enumeration Date
2015-09-16
Last Update Date
2018-06-22
Business Address
Ms. NICOLE A. DOMENECH MD.
950 FIRST ST. SOUTH
WINTER HAVEN, FL 33880
Phone number: 863-295-5604
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Mailing Address
Ms. NICOLE A. DOMENECH MD.
2600 S DOUGLAS RD STE 308
CORAL GABLES, FL 33134-6134
Phone number: 863-682-0843
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