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1003354143
KRISTEN DOMINGUEZ
METAIRIE, LA
NPI
1003354143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: LA OTA.200502)
Enumeration Date
2017-02-09
Last Update Date
2017-02-09
Business Address
-- KRISTEN DOMINGUEZ L/COTA
719 SEVERN AVE
METAIRIE, LA 70001-5150
Phone number: 504-430-9218
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Mailing Address
-- KRISTEN DOMINGUEZ L/COTA
420 32ND ST
NEW ORLEANS, LA 70124-1404
Phone number: 504-723-6687
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