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Individual
JENSEN DOMINGO MANABAT
Active
Individual
JENSEN DOMINGO MANABAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RADIOLOGIC TECHNOLOG
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
RHF00085813
CA
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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