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1881275261
DOMINGA MADE
HOUSTON, TX
NPI
1881275261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1033925)
Enumeration Date
2021-04-18
Last Update Date
2021-04-18
Business Address
DOMINGA MADE
2912 MANGUM RD UNIT A
HOUSTON, TX 77092-7408
Phone number: 832-740-4107
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Mailing Address
DOMINGA MADE
3019 LONESOME RIDGE CT
SUGAR LAND, TX 77498-4894
Phone number: 813-446-1298
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