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1740352301
MIA DOMINGO CAMCAM
TORRANCE, CA
NPI
1740352301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 15818)
Enumeration Date
2006-11-15
Last Update Date
2011-02-11
Business Address
-- MIA DOMINGO CAMCAM NP
23600 TELO AVE SUITE 150
TORRANCE, CA 90505-4035
Phone number: 310-325-3084
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Mailing Address
-- MIA DOMINGO CAMCAM NP
5767 W CENTURY BLVD SUITE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-206-3748
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