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1104291772
IRENE MARIE DOMINGUEZ
CAMARILLO, CA
NPI
1104291772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-08
Last Update Date
2015-12-15
Business Address
-- IRENE MARIE DOMINGUEZ
5284 ADOLFO RD
CAMARILLO, CA 93012-6787
Phone number: 805-289-0120
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Mailing Address
-- IRENE MARIE DOMINGUEZ
5284 ADOLFO RD
CAMARILLO, CA 93012-6787
Phone number: 805-289-0120
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