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GABRIELLE KATE GARCES DOMINGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
6232 MARKET ST, PHILADELPHIA, PA 19139-2922
(215) 444-7672
(267) 627-5873
Mailing address
PO BOX 746722, ATLANTA, GA 30374-6722
(312) 733-9730
(312) 929-0373

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
SP028749
PA
363L00000X
Nurse Practitioner
Primary
SP028749
PA

Other

Enumeration date
12/04/2023
Last updated
04/04/2024
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