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1023346079
ALBERT JOE DOMINGUEZ
POMONA, CA
NPI
1023346079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2009-12-03
Last Update Date
2009-12-03
Business Address
Mr. ALBERT JOE DOMINGUEZ MBHM
1837 HOME TERRACE DR.
POMONA, CA 91768-1285
Phone number: 909-524-2863
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Mailing Address
Mr. ALBERT JOE DOMINGUEZ MBHM
1837 HOME TER
POMONA, CA 91768-1285
Phone number: 909-524-2863
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