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1245966621
JOSHUA DOMINE
GARDEN GROVE, CA
NPI
1245966621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-07-27
Last Update Date
2022-07-27
Business Address
JOSHUA DOMINE
12912 BROOKHURST ST STE 480
GARDEN GROVE, CA 92840-4867
Phone number: 714-636-6286
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Mailing Address
JOSHUA DOMINE
12912 BROOKHURST ST STE 480
GARDEN GROVE, CA 92840-4867
Phone number:
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