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1235820887
JEANNETTE DOMINGUEZ
LOS ANGELES, CA
NPI
1235820887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1507070523)
Enumeration Date
2023-05-16
Last Update Date
2023-05-16
Business Address
JEANNETTE DOMINGUEZ
155 BIMINI PL
LOS ANGELES, CA 90004-5902
Phone number: 213-388-5423
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Mailing Address
JEANNETTE DOMINGUEZ
155 BIMINI PL
LOS ANGELES, CA 90004-5902
Phone number: 213-388-5423
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