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Individual
AURA MAGDALENA DOMINGUEZ
Active
Individual
AURA MAGDALENA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMH-BC
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
708122
CA
363L00000X
Nurse Practitioner
23472
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23472
CA
Other
Enumeration date
09/02/2013
Last updated
09/10/2026
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