LEONARDO DANIEL DOMINGUEZ

FOREST GROVE, OR
NPI1811565203
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-06-14
Last Update Date2021-06-14
Business Address
LEONARDO DANIEL DOMINGUEZ
2043 COLLEGE WAY
FOREST GROVE, OR 97116-1756
Phone number: 503-352-6151
Mailing Address
LEONARDO DANIEL DOMINGUEZ
1114 NW 92ND AVE
PORTLAND, OR 97229-5339
Phone number:
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