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1669789814
JESSE VINCENT DOMINGUEZ
SOMERTON, AZ
NPI
1669789814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: AZ 1210)
Enumeration Date
2010-09-09
Last Update Date
2013-08-14
Business Address
Dr. JESSE VINCENT DOMINGUEZ O.D.
725 E. MAIN ST. SUITE 1C
SOMERTON, AZ 85350-0634
Phone number: 928-627-4525
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Mailing Address
Dr. JESSE VINCENT DOMINGUEZ O.D.
PO BOX 634
SOMERTON, AZ 85350-0634
Phone number: 928-627-4525
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