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Individual

DR. JOVENCIO DOMINGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
8245 W THOMAS RD, PHOENIX, AZ 85033-4722
(623) 849-1940
Mailing address
1118 E TAPATIO DR, PHOENIX, AZ 85020-1187
(602) 369-0577

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10747
OR
183500000X
Pharmacist
S013244
AZ

Other

Enumeration date
08/10/2011
Last updated
02/21/2017
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