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1932584737
NOEL DOMINGUEZ
SAN BERNARDINO, CA
NPI
1932584737
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Former Name
NOEL THAKKAR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA 95002720)
Enumeration Date
2015-07-22
Last Update Date
2018-03-17
Business Address
NOEL DOMINGUEZ
1455 3RD AVE
SAN BERNARDINO, CA 92408-0218
Phone number: 909-382-7100
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Mailing Address
NOEL DOMINGUEZ
22373 BLUE LUPINE CIR
GRAND TERRACE, CA 92313-5466
Phone number: 909-851-2565
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