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1649609892
SUSANA DOMINGUEZ
TUCSON, AZ
NPI
1649609892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: AZ HO4740)
Enumeration Date
2013-11-08
Last Update Date
2013-11-08
Business Address
-- SUSANA DOMINGUEZ RDH
839 W CONGRESS ST
TUCSON, AZ 85745-2819
Phone number: 520-670-3761
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Mailing Address
-- SUSANA DOMINGUEZ RDH
4360 S PASEO DON ROLANDO
TUCSON, AZ 85746-8464
Phone number: 520-578-8954
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