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1861608424
JASON ROLAND DOMINGUEZ
ODESSA, TX
NPI
1861608424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA04351)
Enumeration Date
2007-05-14
Last Update Date
2007-07-08
Business Address
-- JASON ROLAND DOMINGUEZ PA-C
315 E 5TH ST
ODESSA, TX 79761-5133
Phone number: 432-333-3433
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Mailing Address
-- JASON ROLAND DOMINGUEZ PA-C
6213 GLENHAVEN DR
ODESSA, TX 79762-5022
Phone number: 432-362-0299
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