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1285973651
AMY DOMICO
ST AUGUSTINE, FL
NPI
1285973651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA11072)
Enumeration Date
2013-02-05
Last Update Date
2019-08-19
Business Address
AMY DOMICO
2 COLEMAN DR
ST AUGUSTINE, FL 32084-2873
Phone number: 279-671-0367
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Mailing Address
AMY DOMICO
2 COLEMAN DR
ST AUGUSTINE, FL 32084-2873
Phone number:
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