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1104678721
ANGIE D DOMINGUEZ
MIAMI, FL
NPI
1104678721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-04-05
Last Update Date
2024-04-05
Business Address
ANGIE D DOMINGUEZ
10671 N KENDALL DR
MIAMI, FL 33176-1510
Phone number: 786-558-4847
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Mailing Address
ANGIE D DOMINGUEZ
118 MADEIRA AVE APT 4
CORAL GABLES, FL 33134-4504
Phone number: 786-762-1884
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