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1225289705
CHAD DOMINGO
PEARL CITY, HI
NPI
1225289705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-10-02
Last Update Date
2008-10-02
Business Address
-- CHAD DOMINGO
2501 WAIMANO HOME RD
PEARL CITY, HI 96782-1478
Phone number: 808-454-1411
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Mailing Address
-- CHAD DOMINGO
2501 WAIMANO HOME RD
PEARL CITY, HI 96782-1478
Phone number: 808-454-1411
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