IAN J DOMINGUEZ

WARREN, MI
NPI1952097065
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-12
Last Update Date2023-04-12
Business Address
IAN J DOMINGUEZ DO
11885 E 12 MILE RD STE 300A
WARREN, MI 48093-3467
Phone number: 586-573-7470
Mailing Address
IAN J DOMINGUEZ DO
11885 E 12 MILE RD STE 300A
WARREN, MI 48093-3467
Phone number: 586-573-7470
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