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1891336079
JESUS GARCIA DOMINGUEZ
HIALEAH, FL
NPI
1891336079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL 11004300)
Enumeration Date
2019-09-30
Last Update Date
2019-09-30
Business Address
Mr. JESUS GARCIA DOMINGUEZ APRN
355 W 20TH ST APT 312
HIALEAH, FL 33010-2553
Phone number: 786-371-7926
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Mailing Address
Mr. JESUS GARCIA DOMINGUEZ APRN
355 W 20TH ST APT 312
HIALEAH, FL 33010-2553
Phone number: 786-371-7926
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