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1710373394
REBECCA ANN DOMINGUEZ
BELEN, NM
NPI
1710373394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-04-10
Last Update Date
2015-04-10
Business Address
Ms. REBECCA ANN DOMINGUEZ ATC, LAT
115 EL MUNDO RD
BELEN, NM 87002-7006
Phone number: 505-966-1314
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Mailing Address
Ms. REBECCA ANN DOMINGUEZ ATC, LAT
115 EL MUNDO RD
BELEN, NM 87002-7006
Phone number: 505-966-1314
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