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1871928853
EDWIN GILBERTO DOMINGUEZ
NEWPORT, RI
NPI
1871928853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2013-09-09
Last Update Date
2013-09-09
Business Address
Mr. EDWIN GILBERTO DOMINGUEZ SFIDC
43 SMITH RD
NEWPORT, RI 02841-1006
Phone number: 401-841-6128
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Mailing Address
Mr. EDWIN GILBERTO DOMINGUEZ SFIDC
22 ENTERPRISE CT
NEWPORT, RI 02840-1013
Phone number: 732-600-6575
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