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Individual
JOSEPH K DOMENICO
Active
Individual
JOSEPH K DOMENICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM00327
RI
Other
Enumeration date
01/25/2008
Last updated
05/31/2016
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