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1831401348
ELIS DOMINGUEZ
MERCED, CA
NPI
1831401348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN 232412)
Enumeration Date
2010-07-13
Last Update Date
2010-07-13
Business Address
MISS ELIS DOMINGUEZ
260 E 15TH ST
MERCED, CA 95341-6216
Phone number: 209-381-1038
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Mailing Address
MISS ELIS DOMINGUEZ
260 E 15TH ST
MERCED, CA 95341-6216
Phone number: 209-381-1038
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