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1659112605
ELLEN GRACE MARTINEZ DOMINGUEZ
SEBRING, FL
NPI
1659112605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN11033161)
Enumeration Date
2024-06-04
Last Update Date
2024-06-04
Business Address
Ms. ELLEN GRACE MARTINEZ DOMINGUEZ APRN
4432 MADERIA AVE
SEBRING, FL 33872-2126
Phone number: 863-873-5292
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Mailing Address
Ms. ELLEN GRACE MARTINEZ DOMINGUEZ APRN
4432 MADERIA AVE
SEBRING, FL 33872-2126
Phone number: 863-873-5292
Copy
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