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1801316443
MARIANNE DOMINGUES
NEW YORK, NY
NPI
1801316443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00437000)
Enumeration Date
2017-06-25
Last Update Date
2017-06-25
Business Address
MARIANNE DOMINGUES PA-C
525 E 68TH ST
NEW YORK, NY 10065-4870
Phone number: 212-746-5454
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Mailing Address
MARIANNE DOMINGUES PA-C
108 NEW YORK AVE
METUCHEN, NJ 08840-2146
Phone number: 732-331-6929
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