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Individual
MRS. NATALIE ADA DOMINGUEZ
Active
Individual
MRS. NATALIE ADA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN175037
AZ
163WE0003X
Emergency Registered Nurse
RN175037
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060012
—
AZ
Enumeration date
01/15/2013
Last updated
01/26/2013
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