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1285938225
DOMINIQUE DAUGHERTY
CHICO, CA
NPI
1285938225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-01-05
Last Update Date
2011-01-05
Business Address
Mr. DOMINIQUE DAUGHERTY
592 RIO LINDO AVE
CHICO, CA 95926-1817
Phone number: 530-891-2775
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Mailing Address
Mr. DOMINIQUE DAUGHERTY
592 RIO LINDO AVE
CHICO, CA 95926-1817
Phone number: 530-891-2775
Copy
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