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1295419802
DOMINIQUE LATRICE LUCAS
NEWPORT BEACH, CA
NPI
1295419802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
DOMINIQUE LATRICE LUCAS
1151 DOVE ST
NEWPORT BEACH, CA 92660-2840
Phone number: 949-630-8290
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Mailing Address
DOMINIQUE LATRICE LUCAS
1151 DOVE ST
NEWPORT BEACH, CA 92660-2840
Phone number:
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