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1073008231
LISCIA DOMINGO
TAYLORSVILLE, UT
NPI
1073008231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-06-28
Last Update Date
2018-06-28
Business Address
LISCIA DOMINGO
6013 S REDWOOD RD
TAYLORSVILLE, UT 84123-5220
Phone number: 801-255-5131
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Mailing Address
LISCIA DOMINGO
6013 S REDWOOD RD
TAYLORSVILLE, UT 84123-5220
Phone number: 801-255-5131
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