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1093496390
DOMINIC DOUGLAS TARTINI
CALDWELL, ID
NPI
1093496390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2023-07-28
Last Update Date
2023-07-28
Business Address
DOMINIC DOUGLAS TARTINI MS, IP
5315 CRIMSON AVE
CALDWELL, ID 83607-1731
Phone number: 208-813-4986
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Mailing Address
DOMINIC DOUGLAS TARTINI MS, IP
5315 CRIMSON AVE
CALDWELL, ID 83607-1731
Phone number: 208-813-4986
Copy
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