DOMINIC L MORENO

CONWAY, AR
NPI1639227929
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: AR  AT 386)
Enumeration Date2007-01-05
Last Update Date2007-07-08
Business Address
MR. DOMINIC L MORENO MED, ATC, LAT
128 UCA PRINCE CTR 201 DONAGHEY
CONWAY, AR 72035-0001
Phone number: 501-852-7748
Mailing Address
MR. DOMINIC L MORENO MED, ATC, LAT
2270 MEADOWLAKE RD APT 808
CONWAY, AR 72032-2562
Phone number:
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