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Contact Information

DEANA L DOMINGUEZ, DO
1599 JONES ST
GRAND FORKS AFB, ND58205
 Phone: 701-747-5601
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DEANA L DOMINGUEZ · (Female)

NPI Number 1952401010
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/25/2006
Last updated 12/03/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • TX License # R1361
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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