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1174926877
ROBERTO DOMINGUEZ
PALMVIEW, TX
NPI
1174926877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2014-10-08
Last Update Date
2014-10-08
Business Address
-- ROBERTO DOMINGUEZ
1154 E PALMA VISTA DR
PALMVIEW, TX 78572-2029
Phone number: 956-862-1813
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Mailing Address
-- ROBERTO DOMINGUEZ
1154 E PALMA VISTA DR
PALMVIEW, TX 78572-2029
Phone number: 956-862-1813
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