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Individual

DOMINICK E SEMEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
618 MANZANO ST NE, ALBUQUERQUE, NM 87110-6302
(505) 925-4353
Mailing address
12100 SUMMER AVE NE, ALBUQUERQUE, NM 87112-5730

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
NM
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
10/28/2017
Last updated
01/27/2020
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