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Individual

MR. DOMINGO R SANCHEZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSA

Contact information

Practice address
6104 21ST ST, LUBBOCK, TX 79407-1606
(806) 554-5451
Mailing address
6104 21ST ST, LUBBOCK, TX 79407-1606
(806) 554-5451

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00094
TX
246ZS0410X
Surgical Technologist
SA00094
TX

Other

Enumeration date
03/26/2007
Last updated
10/08/2008
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