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1144826710
DOMINIQUE SIMONE FRAZIER
LOS ANGELES, CA
NPI
1144826710
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Former Name
DOMINIQUE SIMONE FLOOD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2020-12-09
Last Update Date
2020-12-09
Business Address
DOMINIQUE SIMONE FRAZIER
5715 S BROADWAY
LOS ANGELES, CA 90037-4131
Phone number: 323-948-0444
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Mailing Address
DOMINIQUE SIMONE FRAZIER
5715 S BROADWAY
LOS ANGELES, CA 90037-4131
Phone number: 323-948-0444
Copy
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