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1568949998
JUAN CARLOS DOMINGUEZ
EL PASO, TX
NPI
1568949998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 138389)
Enumeration Date
2018-07-27
Last Update Date
2018-07-27
Business Address
JUAN CARLOS DOMINGUEZ
12430 PASEO BLANCO DR
EL PASO, TX 79928-5681
Phone number: 915-588-8513
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Mailing Address
JUAN CARLOS DOMINGUEZ
12430 PASEO BLANCO DR
EL PASO, TX 79928-5681
Phone number:
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