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1770191629
EDGAR ANTONIO DOMENECH
FAYETTEVILLE, NC
NPI
1770191629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-07-16
Last Update Date
2023-04-08
Business Address
EDGAR ANTONIO DOMENECH
1638 OWEN DRIVE
FAYETTEVILLE, NC 28304
Phone number: 910-615-4000
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Mailing Address
EDGAR ANTONIO DOMENECH
1638 OWEN DRIVE
FAYETTEVILLE, NC 28304
Phone number: 910-615-4000
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