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1033973045
DOMINIQUE LAWRENCE
LANCASTER, CA
NPI
1033973045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2024-02-09
Last Update Date
2024-08-02
Business Address
DOMINIQUE LAWRENCE
43520 DIVISION ST
LANCASTER, CA 93535-4089
Phone number: 661-266-4783
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Mailing Address
DOMINIQUE LAWRENCE
43520 DIVISION ST
LANCASTER, CA 93535-4089
Phone number: 661-266-4783
Copy
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