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1588897359
JOHN ANTHONY DOMINGUEZ
PHOENIX, AZ
NPI
1588897359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 3887)
Enumeration Date
2009-08-27
Last Update Date
2024-05-15
Business Address
Mr. JOHN ANTHONY DOMINGUEZ
150 S. 12 STREET
PHOENIX, AZ 85034-2301
Phone number: 602-495-5797
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Mailing Address
Mr. JOHN ANTHONY DOMINGUEZ
3746 FOOTHILL BLVD B140
GLENDALE, CA 91214
Phone number: 602-495-5797
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