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1083362735
DAVID ISMAEL DOMINGUEZ
ENCINO, CA
NPI
1083362735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-03-11
Last Update Date
2022-03-11
Business Address
DAVID ISMAEL DOMINGUEZ
16500 VENTURA BLVD STE 414
ENCINO, CA 91436-5050
Phone number: 818-788-1003
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Mailing Address
DAVID ISMAEL DOMINGUEZ
16500 VENTURA BLVD STE 414
ENCINO, CA 91436-5050
Phone number:
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