Mark Anthony Dominguez

NPI #1528425212 in Norman, Oklahoma

Provider Information

NPI Number
1528425212
Entity Type
Individual
Name
Mark Anthony Dominguez
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Jan 26, 2016
Last Updated
Jan 26, 2016

Practice Location

Address
3825 24TH AVE SE
Address 2
APT. #5
City
Norman
ZIP Code
73071-1770
Phone
(580) 320-6021

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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