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1093576738
DOMINIQUE BALLEW
VAN NUYS, CA
NPI
1093576738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-01-19
Last Update Date
2024-01-19
Business Address
DOMINIQUE BALLEW
16360 ROSCOE BLVD STE 100
VAN NUYS, CA 91406-1206
Phone number: 855-223-7123
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Mailing Address
DOMINIQUE BALLEW
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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