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Ebony Domingo
NPI 1518582394 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1582 N Waggoner Rd
Blacklick, OH 43004 - Phone
- (303) 989-8169
- Clinicians at this address
- 239
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 106S00000X
- Sex
- Female
- Record last updated
- 2021-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio