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1295222321
MADDISON DEDOMINICO
BEAUMONT, TX
NPI
1295222321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2018-04-14
Last Update Date
2018-04-14
Business Address
MADDISON DEDOMINICO
3330 FANNIN ST
BEAUMONT, TX 77701-3801
Phone number: 409-832-3304
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Mailing Address
MADDISON DEDOMINICO
3330 FANNIN ST
BEAUMONT, TX 77701-3801
Phone number: 409-832-3304
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