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DOMINADOR CABILDO IGNACIO III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
4900 CALIFORNIA AVE, SUITE 400B, BAKERSFIELD, CA 93309-7024
(661) 459-1900
Mailing address
4900 CALIFORNIA AVENUE, SUITE 400-B, BAKERSFIELD, CA 93309
(925) 421-9633

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
95023906
CA
363LF0000X
Family Nurse Practitioner
Primary
95004626
CA

Other

Enumeration date
08/17/2016
Last updated
10/07/2016
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