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1710505482
LISSETTE DOMINGUEZ
MIAMI, FL
NPI
1710505482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11006296)
Enumeration Date
2020-07-09
Last Update Date
2020-07-09
Business Address
LISSETTE DOMINGUEZ APRN
11126 NW 4TH TER
MIAMI, FL 33172-3639
Phone number: 059-109-5993
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Mailing Address
LISSETTE DOMINGUEZ APRN
12159 SW 132ND CT
MIAMI, FL 33186
Phone number: 305-251-4989
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