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Individual

MRS. ALYSSA MARIE DOMINGOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP

Contact information

Practice address
815 SE RICE RD, TOPEKA, KS 66607-2354
(785) 559-5096
Mailing address
815 SE RICE RD, TOPEKA, KS 66607-2354
(785) 559-5192

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
79240
KS

Other

Enumeration date
04/21/2020
Last updated
04/21/2020
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