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Individual

JAMES ALAN DOMINGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DISPENSING OPTICIAN

Contact information

Practice address
6973 BLUE DIAMOND RD, LAS VEGAS, NV 89178-9213
(702) 408-3598
(702) 262-1681
Mailing address
6973 BLUE DIAMOND RD, LAS VEGAS, NV 89178-9213
(702) 408-3598
(702) 262-1681

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
446
NV

Other

Enumeration date
05/18/2023
Last updated
05/18/2023
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