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1013406149
ANISSA DOMINGUEZ
WYOMISSING, PA
NPI
1013406149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2018-05-03
Last Update Date
2018-05-03
Business Address
ANISSA DOMINGUEZ
100 N PARK RD APT 1263
WYOMISSING, PA 19610-3058
Phone number: 410-693-7747
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Mailing Address
ANISSA DOMINGUEZ
100 N PARK RD APT 1263
WYOMISSING, PA 19610-3058
Phone number: 410-693-7747
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