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1700298403
MATEO DOMINGUEZ
ANCHORAGE, AK
NPI
1700298403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-05-29
Last Update Date
2014-05-29
Business Address
-- MATEO DOMINGUEZ
5861 ARCTIC BLVD SUITE D
ANCHORAGE, AK 99518-1692
Phone number: 907-561-1600
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Mailing Address
-- MATEO DOMINGUEZ
PO BOX 200248
ANCHORAGE, AK 99520-0248
Phone number:
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