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Individual
JESUS MONSERATT DOMINGUEZ
Active
Individual
JESUS MONSERATT DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070019384
IL
225100000X
Physical Therapist
PT31006
FL
Other
Enumeration date
08/16/2016
Last updated
07/12/2021
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