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1588036347
JENNIFER DOMINGUEZ
FORT MYERS, FL
NPI
1588036347
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA 9109121)
Enumeration Date
2015-10-20
Last Update Date
2015-10-20
Business Address
-- JENNIFER DOMINGUEZ PA
6811 PORTO FINO CIR
FORT MYERS, FL 33912-4354
Phone number: 239-225-1306
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Mailing Address
-- JENNIFER DOMINGUEZ PA
6811 PORTO FINO CIR
FORT MYERS, FL 33912-4354
Phone number: 239-225-1306
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