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1265156376
AMANDA NICOLE DOMINGUEZ
MIAMI, FL
NPI
1265156376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL 17486)
Enumeration Date
2022-10-03
Last Update Date
2022-10-03
Business Address
AMANDA NICOLE DOMINGUEZ
12750 SW 128TH ST
MIAMI, FL 33186-5379
Phone number: 786-646-0091
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Mailing Address
AMANDA NICOLE DOMINGUEZ
15222 SW 115TH TER # 33196
MIAMI, FL 33196-5218
Phone number: 305-282-9811
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