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1972917672
FERNANDO ALFONSO DOMINGUEZ
SAN DIEGO, CA
NPI
1972917672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: CA A154708)
Enumeration Date
2014-06-20
Last Update Date
2022-12-12
Business Address
FERNANDO ALFONSO DOMINGUEZ
4094 4TH AVE
SAN DIEGO, CA 92103-2143
Phone number: 619-515-2545
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Mailing Address
FERNANDO ALFONSO DOMINGUEZ
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number: 619-515-2300
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