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1740768498
ELIZABETH RUTH DOMINGUEZ
TYLER, TX
NPI
1740768498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 228182)
Enumeration Date
2018-08-03
Last Update Date
2019-06-11
Business Address
Ms. ELIZABETH RUTH DOMINGUEZ LVN
100 E FERGUSON ST STE 608
TYLER, TX 75702-5756
Phone number: 903-705-0070
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Mailing Address
Ms. ELIZABETH RUTH DOMINGUEZ LVN
4615 PEAVY SWITCH RD
LUFKIN, TX 75904-7396
Phone number: 469-386-9427
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