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1053790980
DOMINIQUE MEZA
SANTA BARBARA, CA
NPI
1053790980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-05-26
Last Update Date
2015-06-03
Business Address
Miss DOMINIQUE MEZA
4129 STATE ST
SANTA BARBARA, CA 93110-1848
Phone number: 805-964-4795
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Mailing Address
Miss DOMINIQUE MEZA
2530 IRONSTONE ST
OXNARD, CA 93036-6285
Phone number: 805-512-5310
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