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1699548230
DEANNA DOMINGUEZ
SAN ANGELO, TX
NPI
1699548230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 71312)
Enumeration Date
2023-11-06
Last Update Date
2023-11-06
Business Address
DEANNA DOMINGUEZ
3215 GREEN RIDGE DR
SAN ANGELO, TX 76904-6425
Phone number: 325-942-1616
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Mailing Address
DEANNA DOMINGUEZ
3215 GREEN RIDGE DR
SAN ANGELO, TX 76904-6425
Phone number: 325-942-1616
Copy
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