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1679314736
DOMINGUE EMMANOUEL
BERKELEY, CA
NPI
1679314736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 738912)
Enumeration Date
2024-06-03
Last Update Date
2024-06-03
Business Address
DOMINGUE EMMANOUEL LVN
1410 BONITA AVE
BERKELEY, CA 94709-1909
Phone number: 510-418-0233
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Mailing Address
DOMINGUE EMMANOUEL LVN
1410 BONITA AVE
BERKELEY, CA 94709-1909
Phone number: 510-418-0233
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