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1902668833
ARDEE BUTAC DOMINGO
LAGUNA HILLS, CA
NPI
1902668833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95027092)
Enumeration Date
2024-01-25
Last Update Date
2024-01-25
Business Address
ARDEE BUTAC DOMINGO FNP-C
27001 MOULTON PKWY
LAGUNA HILLS, CA 92656-3600
Phone number: 949-600-1907
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Mailing Address
ARDEE BUTAC DOMINGO FNP-C
167 VALLEY VIEW TER
MISSION VIEJO, CA 92692-4088
Phone number: 949-510-8934
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