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1720036502
KRISTEN T DOMINGO
CHULA VISTA, CA
NPI
1720036502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT30280)
Enumeration Date
2006-05-04
Last Update Date
2008-06-10
Business Address
KRISTEN T DOMINGO PT
1055 TIERRA DEL REY #C
CHULA VISTA, CA 91910-7875
Phone number: 619-656-5102
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Mailing Address
KRISTEN T DOMINGO PT
1055 TIERRA DEL REY #C
CHULA VISTA, CA 91910-7875
Phone number: 619-656-5102
Copy
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