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Individual

DOMINADOR BALINBIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
94-1034 PAIWA PL, WAIPAHU, HI 96797-3648
(808) 677-1022
Mailing address
94-1034 PAIWA PL, WAIPAHU, HI 96797-3648
(808) 677-1022

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1795C
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
55078201
HI
Enumeration date
01/04/2007
Last updated
07/08/2007
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