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1114494457
LARISA JANELLE DOMINGUEZ
PEARLAND, TX
NPI
1114494457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 118272)
Enumeration Date
2018-10-24
Last Update Date
2018-10-24
Business Address
LARISA JANELLE DOMINGUEZ
2750 MILLER RANCH RD
PEARLAND, TX 77584-9763
Phone number: 713-770-5300
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Mailing Address
LARISA JANELLE DOMINGUEZ
2016 CREEK RUN DR
PEARLAND, TX 77584-6724
Phone number:
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