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Individual

DR. DOMINIQUE G ENGEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2767 OLIVE HWY, SUITE 16, OROVILLE, CA 95966-6118
(530) 533-3196
(530) 533-3370
Mailing address
2767 OLIVE HWY, SUITE 16, OROVILLE, CA 95966-6118
(530) 533-3196
(530) 533-3370

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G76800
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000G76800
CA
05
000G76801
CA
01
G76800
LICIENCE
CA
Enumeration date
10/12/2006
Last updated
07/09/2007
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