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1902932890
GERARDO ERNESTO DOMINGUEZ
TORRANCE, CA
NPI
1902932890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-02-26
Last Update Date
2013-06-04
Business Address
Mr. GERARDO ERNESTO DOMINGUEZ
370 CRENSHAW BLVD STE E100
TORRANCE, CA 90503-1728
Phone number: 310-279-0852
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Mailing Address
Mr. GERARDO ERNESTO DOMINGUEZ
1441 S HOPE ST APT 103
LOS ANGELES, CA 90015-2963
Phone number: 310-279-0852
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