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Individual

FRANCISCO CESAR DOMINICCI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
RN, BSN

Contact information

Practice address
DR. MARY WALKER CLINIC, BLDG 170 ROOM 412, FORT IRWIN, CA 92310
(760) 380-5414
Mailing address
PO BOX 10820, FORT IRWIN, CA 92310-0820
(760) 386-4079

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
648787
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
648787
RN
TX
Enumeration date
04/05/2006
Last updated
07/08/2007
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