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Individual

DR. NERVANE TAREK DOMLOJ

Active
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Individual

DR. NERVANE TAREK DOMLOJ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.093999
OH
207L00000X
Anesthesiology Physician
4301081404
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201006520
IN
05
2988950
OH
05
7100140720
KY
Enumeration date
12/20/2005
Last updated
05/30/2017
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