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1124407127
DOMONIQUE JEFFERSON
HOUSTON, TX
NPI
1124407127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Additional Taxonomies
251C00000X Day Training, Developmentally Disabled Services
Enumeration Date
2015-05-22
Last Update Date
2015-05-22
Business Address
Ms. DOMONIQUE JEFFERSON
13226 RUSTIC GARDEN DR
HOUSTON, TX 77083-0104
Phone number: 832-288-1931
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Mailing Address
Ms. DOMONIQUE JEFFERSON
13226 RUSTIC GARDEN DR
HOUSTON, TX 77083-0104
Phone number: 832-288-1931
Copy
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