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1033777255
SAN JUANITA DOMINGUEZ
PASADENA, TX
NPI
1033777255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 115540)
Enumeration Date
2019-06-03
Last Update Date
2019-06-03
Business Address
SAN JUANITA DOMINGUEZ M.S., SLP Intern
3333 BAYSHORE BLVD STE 340
PASADENA, TX 77504-1960
Phone number: 713-910-5437
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Mailing Address
SAN JUANITA DOMINGUEZ M.S., SLP Intern
1455 LOUISIANA AVE APT 6106
LEAGUE CITY, TX 77573-5825
Phone number: 956-206-1750
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