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1972298180
DOMINADOR MANSAT JR, A PROFESSIONAL NURSING CORP
ONTARIO, CA
NPI
1972298180
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Entity Type
Organization
Authorized Contact
DOMINADOR MANSAT
CEO
909-348-3067
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
Enumeration Date
2023-04-05
Last Update Date
2023-04-05
Business Address
DOMINADOR MANSAT JR, A PROFESSIONAL NURSING CORP
1910 S ARCHIBALD AVE STE D
ONTARIO, CA 91761-8503
Phone number: 909-348-2556
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Mailing Address
DOMINADOR MANSAT JR, A PROFESSIONAL NURSING CORP
9415 RETREAT PL
RANCHO CUCAMONGA, CA 91730-9200
Phone number: 909-348-2556
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