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1790011757
TRACIE TUE DOMINGUEZ
FORT CARSON, CO
NPI
1790011757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2009-10-27
Last Update Date
2022-12-06
Business Address
MRS. TRACIE TUE DOMINGUEZ PA-C
1650 COCHRANE CIR
FORT CARSON, CO 80913-4603
Phone number: 719-244-2286
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Mailing Address
MRS. TRACIE TUE DOMINGUEZ PA-C
5130 BARNSTORMERS AVE
COLORADO SPRINGS, CO 80911-1214
Phone number: 808-352-7258
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