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1871945352
DOMENIC ALFONSO TAMAYO
EUGENE, OR
NPI
1871945352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: OR 500695639)
Enumeration Date
2016-07-07
Last Update Date
2016-07-07
Business Address
-- DOMENIC ALFONSO TAMAYO
3515 KINSROW AVE APT 406
EUGENE, OR 97401-8019
Phone number: 541-726-8198
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Mailing Address
-- DOMENIC ALFONSO TAMAYO
5542 PRANZ PL
EUGENE, OR 97402-1568
Phone number: 541-513-5489
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