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1013042159
KIMBERLY DOMINICK
BATON ROUGE, LA
NPI
1013042159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 3015)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
Ms. KIMBERLY DOMINICK
5536 SUPERIOR DR STE C
BATON ROUGE, LA 70816-6064
Phone number: 225-229-4511
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Mailing Address
Ms. KIMBERLY DOMINICK
1151 BULLRUSH DR
BATON ROUGE, LA 70810-5217
Phone number:
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