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1003461526
DOMINIQUE DOUGLAS
DORAL, FL
NPI
1003461526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-08-02
Last Update Date
2019-08-02
Business Address
DOMINIQUE DOUGLAS
9600 NW 25TH ST STE PH
DORAL, FL 33172-1416
Phone number: 305-597-3861
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Mailing Address
DOMINIQUE DOUGLAS
9600 NW 25TH ST STE PH
DORAL, FL 33172-1416
Phone number: 305-597-3861
Copy
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