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1932728821
ILIANA DOMINGUEZ
LOS ANGELES, CA
NPI
1932728821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95013270)
Enumeration Date
2020-04-11
Last Update Date
2021-11-11
Business Address
ILIANA DOMINGUEZ FNP
711 W COLLEGE ST STE 205
LOS ANGELES, CA 90012-1093
Phone number: 323-973-3273
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Mailing Address
ILIANA DOMINGUEZ FNP
4225 DUANE WAY
SOUTH GATE, CA 90280-4903
Phone number: 323-973-3273
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