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1295519833
JIMMY V DOMINGUEZ
COVINA, CA
NPI
1295519833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA ASW115624)
Enumeration Date
2023-08-23
Last Update Date
2023-08-23
Business Address
JIMMY V DOMINGUEZ
530 W BADILLO ST
COVINA, CA 91722-3762
Phone number: 626-993-3000
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Mailing Address
JIMMY V DOMINGUEZ
530 W BADILLO ST
COVINA, CA 91722-3762
Phone number: 626-993-3000
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