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1003522004
LAISHA R DOMINICK
METAIRIE, LA
NPI
1003522004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-01-24
Last Update Date
2023-01-24
Business Address
LAISHA R DOMINICK
4201 N I 10 SERVICE RD W
METAIRIE, LA 70006-6713
Phone number: 888-880-9270
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Mailing Address
LAISHA R DOMINICK
500 FAIRWAY DR STE 102
DEERFIELD BEACH, FL 33441-1817
Phone number: 877-418-2978
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