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1770888141
LISSETTE MARIA DOMINGUEZ
PORT CHARLOTTE, FL
NPI
1770888141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL ARNP9248661)
Enumeration Date
2011-01-17
Last Update Date
2011-01-17
Business Address
-- LISSETTE MARIA DOMINGUEZ NP-C
2625 TAMIAMI TRL SUITE 5
PORT CHARLOTTE, FL 33952-6403
Phone number: 941-764-7999
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Mailing Address
-- LISSETTE MARIA DOMINGUEZ NP-C
2625 TAMIAMI TRL SUITE 5
PORT CHARLOTTE, FL 33952-6403
Phone number: 941-764-7999
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