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Individual
ANTONIO DOMINOVIC
Active
Individual
ANTONIO DOMINOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.T.(R)(CT)(ARRT)
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
60899550
WA
2471C3402X
Radiography Radiologic Technologist
Primary
917283
OR
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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