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1871025833
NICOLE DOMINGUEZ
TEMPLE, TX
NPI
1871025833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX 31437)
Enumeration Date
2017-03-29
Last Update Date
2017-03-29
Business Address
-- NICOLE DOMINGUEZ
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2111
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Mailing Address
-- NICOLE DOMINGUEZ
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number:
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