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1285353458
MIA RENEE DOMINGUEZ
LAS VEGAS, NV
NPI
1285353458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-08-23
Last Update Date
2022-08-23
Business Address
MIA RENEE DOMINGUEZ
2715 E RUSSELL RD
LAS VEGAS, NV 89120-2426
Phone number: 702-848-1696
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Mailing Address
MIA RENEE DOMINGUEZ
1575 W WARM SPRINGS RD UNIT 624
HENDERSON, NV 89014-3515
Phone number: 775-419-9432
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