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1740245224
ALISON JEAN DOMINGUEZ
CONCORD, NC
NPI
1740245224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 102840)
Enumeration Date
2006-04-19
Last Update Date
2010-01-06
Business Address
Ms. ALISON JEAN DOMINGUEZ P.A.
1070 VINEHAVEN DR NE
CONCORD, NC 28025-2438
Phone number: 704-783-1840
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Mailing Address
Ms. ALISON JEAN DOMINGUEZ P.A.
PO BOX 36351
CHARLOTTE, NC 28236-6351
Phone number: 704-377-5772
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