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1275070484
LATOSHA DOMINO
PLAQUEMINE, LA
NPI
1275070484
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-01-25
Last Update Date
2017-01-25
Business Address
-- LATOSHA DOMINO MEd
58155 CHINN ST
PLAQUEMINE, LA 70764-3601
Phone number: 225-385-4543
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Mailing Address
-- LATOSHA DOMINO MEd
58155 CHINN ST
PLAQUEMINE, LA 70764-3601
Phone number: 225-385-4543
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