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1124276191
MARK ANTHONY DOMINGUEZ
BAKERSFIELD, CA
NPI
1124276191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT135452)
Enumeration Date
2008-09-03
Last Update Date
2024-06-09
Business Address
MARK ANTHONY DOMINGUEZ MA PSYCH LMFT135452
1522 18TH ST STE 300
BAKERSFIELD, CA 93301-4433
Phone number: 661-865-2352
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Mailing Address
MARK ANTHONY DOMINGUEZ MA PSYCH LMFT135452
6505 BRIDGEPORT LN
BAKERSFIELD, CA 93309-3404
Phone number: 661-865-2352
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