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1780301382
JOANNE DOMINGO
LA QUINTA, CA
NPI
1780301382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95022243)
Enumeration Date
2022-10-24
Last Update Date
2022-10-24
Business Address
JOANNE DOMINGO
79440 CORPORATE CENTER DR STE 108
LA QUINTA, CA 92253-7243
Phone number: 760-564-0902
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Mailing Address
JOANNE DOMINGO
47070 ELISABETH DR
INDIO, CA 92201-8714
Phone number:
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