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Mark Dominguez

NPI 1528425212 · on the registry since 2016 · sole proprietor

Practice

Address
3825 24th Ave Se
Apt. #5
Norman, OK 73071
Phone
(580) 320-6021

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-01-26

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 Oklahoma